Individual provider Active NPI

Stephen E Durand, APRN

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1265584411
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 9214908 Issued in FL
Practice address
1575 Pine Ridge Rd
Suite 16
Naples, FL 34109
Phone
(239) 494-2346
Fax
(239) 734-3782
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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 ARNP 9214908 FL Primary

Addresses

Primary practice location

1575 Pine Ridge Rd
Suite 16
Naples, FL 34109

Mailing address

1575 Pine Ridge Rd
Suite 16
Naples, FL 34109
Phone (239) 494-2346

Other practice location 1

4949 Tamiami Trl N
Suite 206
Naples, FL 34103-3027
Phone (239) 261-1158

Other identifiers 4

IdentifierTypeStateIssuer
G4152OtherFLBCBS PROVIDER
308124900MedicaidFL
P00390199OtherFLRAILROAD MEDICARE
208124900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000298 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153427521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dura Medical LLCGroup PAC ID 1254672272, 21 clinicians

Practice addresses (Care Compare)

1575 Pine Ridge Rd
Suite 16
Naples, FL 34109-2110
Phone (239) 734-3481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9214908FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 16, 2017 Accepting new patients
Dura Medical LLC CurrentSince Feb 4, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 16, 2017 Accepting new patients
North Naples Anesthesia, LLC Past Accepting new patients
Riverwalk Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Miami Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

8350 Riverwalk Park Blvd
Ste 4
Fort Myers, FL 33919
Phone (239) 489-4909

1575 Pine Ridge Rd
Ste 16
Naples, FL 34109
Phone (239) 734-3481

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21560/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1265584411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD",
            "address_2": "SUITE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-494-2346",
            "fax_number": "239-734-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD",
            "address_2": "SUITE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-494-2346",
            "fax_number": "239-734-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 Tamiami Trl N",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341033027",
            "country_code": "US",
            "telephone_number": "239-261-1158",
            "fax_number": "239-261-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAND",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9214908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "G4152",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308124900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00390199",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208124900",
            "state": "FL"
        }
    ],
    "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 Apr 16, 2021; 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.