Active NPI
Edrei Lugo, CRNA
- Certified Registered Nurse Anesthetist
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9176217
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-9322 - Phone
- (352) 273-8610
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9176217 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-9322
Mailing address
4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322
Phone (239) 332-5344
Other practice location 1
4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322
Phone (239) 332-5344 ext. 214
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304095000 | Medicaid | FL | |
| G2961Z | Other | FL | MCR |
| 430068864 | Other | FL | MCRR |
| G2961 | Other | FL | BSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
600 E Dixie Ave
Leesburg, FL 34748-5925
Hospital & facility affiliations
- Uf Health Leesburg Hospital
- Villages Regional Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9176217 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients | |
| Orlando Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079
88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- elugo632198@direct.shands.ufl.edu
Organizations & group practices 5
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.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Anesthesiology Physician
- Ocoee, FL
- NPI 1184661696
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1285624403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326109322",
"telephone_number": "352-273-8610"
}
],
"practiceLocations": [
{
"address_1": "4048 Evans Ave",
"address_2": "SUITE 303",
"address_purpose": "LOCATION",
"city": "Ft Myers",
"state": "FL",
"postal_code": "339019322",
"country_code": "US",
"telephone_number": "239-332-5344 x214",
"fax_number": "239-332-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUGO",
"first_name": "EDREI",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9176217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304095000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR",
"identifier": "G2961Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "430068864",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "G2961",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.