Active NPI
Charles Gresko-McTiernan, CRNA
- Certified Registered Nurse Anesthetist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11026479
- Practice address
- 3435 Pinehurst Ave
Orlando, FL 32804-4049 - Phone
- (407) 801-3888
- NPI assigned
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9463014 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 11026479 | FL | Primary |
Addresses
Primary practice location
3435 Pinehurst Ave
Orlando, FL 32804-4049
Mailing address
671 Gamewell Ave
Maitland, FL 32751-4401
Phone (850) 556-3278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9463014 | FL | MD | Registered Nurse |
| 11026479 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Innovative Medical Staffing Solutions Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
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
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251
100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006
3435 Pinehurst Ave
Orlando, FL 32804
Phone (321) 841-8199
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1629308713
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1205415320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 GAMEWELL AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514401",
"telephone_number": "850-556-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 PINEHURST AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044049",
"telephone_number": "407-801-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESKO-MCTIERNAN",
"first_name": "CHARLES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9463014",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11026479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.