Individual provider Active NPI

Sackelia Grey, RN

  • Certified Registered Nurse Anesthetist
  • Maitland, FL
National Provider Identifier
1306285259
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11013961 Issued in FL
Practice address
851 Trafalgar CT Ste 200E
Maitland, FL 32751-7420
Phone
(888) 339-8727
NPI assigned
Jun 24, 2013
Reactivated
Mar 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001276563 VA
Registered Nurse 163W00000X 659703-1 NY
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X APRN11013961 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X 0001276563 VA

Addresses

Primary practice location

851 Trafalgar CT Ste 200E
Maitland, FL 32751-7420

Mailing address

851 Trafalgar CT Ste 200E
Maitland, FL 32751-7420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210723002924 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002219318 Reassigns benefits to 7 organizations
I20251205002006 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002219318 Reassigns benefits to 1 organization
I20260410001003 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002219318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Anesthesia PCGroup PAC ID 8921044744, 214 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Apollo Medical Group of Central Florida PLLCGroup PAC ID 1153898556, 41 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 253-3333

2955 Brownwood Blvd
Suite 208
The Villages, FL 32163-2040
Phone (352) 775-1734

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Hospital & facility affiliations

  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
659703-1NYMDRegistered Nurse
0001276563VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Anesthesia Services LLC Multi-Specialty CurrentSince Sep 15, 2025 Accepting new patients
Orange City Anesthesia Services LLC Multi-Specialty CurrentSince Aug 23, 2024 Accepting new patients
Apollo Medical Group of Ocala LLC Multi-Specialty CurrentSince May 21, 2024 Accepting new patients
Musc Community Physicians Multi-Specialty Current Accepting new patients
Musc Community Physicians CurrentSince Nov 1, 2025 Accepting new patients
US Anesthesia Partners of Florida Inc. Multi-Specialty CurrentSince Jul 21, 2021 Accepting new patients
Fleming Island Anesthesia LLC Multi-Specialty CurrentSince Apr 15, 2025 Accepting new patients
Musc Community Physicians Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Multi-Specialty CurrentSince Apr 10, 2025 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

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

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

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

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

3241 SW 34th St
Ocala, FL 34474
Phone (352) 237-5906

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

801 N Orange Ave
Ste 630
Orlando, FL 32801
Phone (407) 650-0051

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

105 Bonnie Loch Ct
Orlando, FL 32806
Phone (407) 428-0040

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2955 Brownwood Blvd
Ste 208
The Villages, FL 32163
Phone (352) 572-4120

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1306285259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 TRAFALGAR CT STE 200E",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 TRAFALGAR CT STE 200E",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517420",
            "telephone_number": "888-339-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "SACKELIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "deactivation_date": "2018-06-06",
        "reactivation_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001276563",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "659703-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11013961",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0001276563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.