Individual provider Active NPI

Jacques Fulcher Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Maitland, FL
National Provider Identifier
1235682295
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9371317 Issued in FL
Practice address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone
(407) 581-9180
Fax
(865) 560-7066
NPI assigned
Jul 26, 2016
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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 ARNP9371317 FL Primary

Addresses

Primary practice location

500 Winderley PL Ste 115
Maitland, FL 32751-7406

Mailing address

500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone (407) 581-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161104000600 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436437837 Reassigns benefits to 9 organizations
I20190820001391 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436437837

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

11375 Cortez Blvd
SR50
Brooksville, FL 34613-5409
Phone (352) 596-6632

1500 SE 1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200

1800 N Hancock Rd
Minneola, FL 34715-8184
Phone (689) 289-2000

400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9371317FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 6, 2016 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2021 Accepting new patients
Apollo Medical Group of Ocala LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 6, 2016 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2025 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2021 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jun 23, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Oct 12, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2021 Accepting new patients

Locations (25 of 40)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

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

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

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

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

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

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

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

555 W State Road 434
Ste 434
Longwood, FL 32750

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

3241 SW 34th St
Ocala, FL 34474
Phone (352) 237-5906

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

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

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

801 N Orange Ave
Ste 630
Orlando, FL 32801
Phone (407) 650-0051

Networks

  • Freedom Health HMO Network

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 3

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1235682295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WINDERLEY PL STE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517406",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINDERLEY PL STE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517406",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "JACQUES",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9371317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.