Individual provider Active NPI

Kellange J Benjamin, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Lauderdale, FL
National Provider Identifier
1265408306
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3110862 Issued in FL
Practice address
1600 S Andrews Ave
Broward General Medical Center
Fort Lauderdale, FL 33316-2510
Phone
(954) 355-4400
NPI assigned
Feb 28, 2006
Last updated
May 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 ARNP3110862 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Broward General Medical Center
Fort Lauderdale, FL 33316-2510

Mailing address

3601 W Commercial Blvd
Anesco North Broward LLC Ste 4-5
Fort Lauderdale, FL 33309-3300
Phone (954) 485-5666

Other identifiers 1

IdentifierTypeStateIssuer
307120100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000183 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385676022 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

16853 NE 2ND Ave
Suite 400
North Miami Beach, FL 33162-1776
Phone (954) 939-5000

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

636 Del Prado Blvd
Cape Coral, FL 33990-2695
Phone (239) 424-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Sheridan Healthcorp Inc CurrentSince Aug 1, 2023 Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Mar 2, 2015 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2023 Accepting new patients
South Florida Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Feb 1, 2026 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
St Lucie Anesthesia Associates LLC Current Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Mar 2, 2015 Accepting new patients
South Florida Gastroenterology Associates PA PastSince Mar 3, 1997 Accepting new patients
Heartland Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 36)

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

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

4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

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

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

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

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1400 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 325-5416

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

Organizations & group practices 17

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 17

Hospital & facility affiliations 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1265408306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "ANESCO NORTH BROWARD LLC STE 4-5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-485-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "address_2": "BROWARD GENERAL MEDICAL CENTER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "KELLANGE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3110862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307120100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.