William Self

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN9257951 Issued in FL

Practice address

495 S Nova Rd Ste 101a
Ormond Beach, FL 32174-8444

Phone

(386) 487-4673

NPI assigned

Feb 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, KY2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Guide Anesthesia FL LLCGroup PAC ID 5698273142, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

83.62

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 26)

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Guide Anesthesia FL LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1073408514

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• St Claire Medical Center, Inc.,

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Florida Clinical Practice Association Inc

  dba UF Health Physicians

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• American Anesthesiology Services of Florida, Inc.

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1508318387

  FL

  Medicare reassignment NPD
• Jackson Reef

  dba Life Is Ketaful

  • Health Service Clinic/Center
  • Ormond Beach, FL
  • NPI 1396398608
  Authorized official Same address or phone
• Anesthesiology Professional Services, Inc.

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1902856891
  NPD
• Florida Clinical Practice Association Inc

  dba UF Health Family Medicine Ocala Heath Brook

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD
• Innovative Medical Staffing Solutions Inc

  dba iMEDSolutions

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1629308713

  Nurse Anesthetist, Certified Registered

  NPD
• St Claire Medical Center, Inc

  dba St Claire Healthcare Urgent Care

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St. Claire Medical Center Inc.

  dba dba St. Claire Regional Anesthesia Professionals

  • Anesthesiology Physician
  • Morehead, KY
  • NPI 1932383833

  Nurse Anesthetist, Certified Registered

  NPD

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

• St Claire Medical Center Inc

  dba Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  dba St. Claire Family Care Clinic

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1245503093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST RM 2232",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081128",
            "telephone_number": "352-733-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S NOVA RD STE 101A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748444",
            "telephone_number": "386-487-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Dunlawton Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274234",
            "country_code": "US",
            "telephone_number": "386-487-4637",
            "fax_number": "855-829-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142709",
            "country_code": "US",
            "telephone_number": "386-254-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 S Nova Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321748444",
            "country_code": "US",
            "telephone_number": "386-487-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELF",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ZZ",
            "license": "RN9257951",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9257951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seating and Mobility Consultants LLC
• Karen Sebastien, NURSE PRACTITIONER
• Seeley Medical Oxygen Co of Florida (Seeley Medical, INC)
• Zuzana Segev, PH.D., ARNP,PMHNP-BC
• Brian Scott Self, DC
• Sweta Sengupta
• Melissa Sepe, APRN
• Paige Septien
• Steven R Serkin, D.D.S.
• Arvind Seth

• Certified Registered Nurse Anesthetist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.