Individual provider Active NPI

Jerry Dale Guy, CRNA

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1265475065
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3370352 Issued in FL
Practice address
1336 Creekside Blvd
Suite 1
Naples, FL 34108-1931
Phone
(239) 261-1158
Fax
(239) 261-4232
NPI assigned
Jun 13, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 ARNP3370352 FL Primary

Addresses

Primary practice location

1336 Creekside Blvd
Suite 1
Naples, FL 34108-1931

Mailing address

PO Box 413012
Naples, FL 34101-3012
Phone (239) 261-1158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001159 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426958380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SWF Anesthesia, LLCGroup PAC ID 3072917111, 7 clinicians

Practice addresses (Care Compare)

8380 Riverwalk Park Blvd
Suite 220
Fort Myers, FL 33919-8758
Phone (855) 674-7400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2020 Accepting new patients
Lehigh Anesthesiology LLC CurrentSince Jan 3, 2017 Accepting new patients
SWF Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 8, 2021 Accepting new patients
West Florida Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Millennium Anesthesia PA Past Accepting new patients
Consultant Anesthetic Services PA Past Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
North West Anesthesiologist Group PastSince Jan 1, 1990 Accepting new patients
Key Practice Management Solutions LLC Past Accepting new patients
Anesthesia & Pain Consultants of SW FL PastSince Jan 1, 2019 Accepting new patients
Collier Anesthesia PA Past Accepting new patients

Locations

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

12631 Whitehall Dr
Ste 340
Fort Myers, FL 33907

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

63 Barkley Cir
Fort Myers, FL 33907
Phone (941) 936-5400

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

8380 Riverwalk Park Blvd
Ste 220
Fort Myers, FL 33919
Phone (239) 215-4104

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1265475065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413012",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341013012",
            "telephone_number": "239-261-1158",
            "fax_number": "239-261-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 CREEKSIDE BLVD",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081931",
            "telephone_number": "239-261-1158",
            "fax_number": "239-261-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "JERRY",
        "middle_name": "DALE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3370352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.