Individual provider Active NPI

Zachary J Prietz, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1194980029
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
205497 Issued in NC
Practice address
12225 28TH St N
Suite a
St Petersburg, FL 33716-1860
Phone
(919) 309-5168
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 205497 NC Primary

Addresses

Primary practice location

12225 28TH St N
Suite a
St Petersburg, FL 33716-1860

Mailing address

PO Box 22005
St Petersburg, FL 33742-2005
Phone (919) 309-5168

Other identifiers 1

IdentifierTypeStateIssuer
8053246MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000365 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446325286 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians

Practice addresses (Care Compare)

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

560 Jackson St N
Suite 200
St Petersburg, FL 33705-1449
Phone (727) 820-7500

960 7TH Ave N
Bay Surgical Specialists PA
St Petersburg, FL 33705-1347
Phone (727) 821-8101

Hospital & facility affiliations

  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
205497NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 11, 2017 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 11, 2017 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince May 14, 2017 Accepting new patients
Ida Rather Be Sleeping Anesthesia LLC CurrentSince Nov 20, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2023 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Advanced Anesthesia Care Inc CurrentSince Jul 1, 2024 Accepting new patients
Sarasota Anesthesiologists, PA CurrentSince Oct 16, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Sarasota Anesthesia Past Accepting new patients

Locations (25 of 29)

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

8000 State Road 64 E
Ste 205
Bradenton, FL 34212
Phone (727) 203-5114

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

12416 66th St
Largo, FL 33773
Phone (727) 408-5310

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

1261 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-1164

1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

625 6th Ave S
St Petersburg, FL 33701
Phone (727) 440-4888

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1194980029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22005",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337422005",
            "telephone_number": "919-309-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 28TH ST N",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161860",
            "telephone_number": "919-309-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETZ",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "205497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.