Active NPI
Sackelia Grey, RN
- Certified Registered Nurse Anesthetist
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11013961
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001276563 | VA | |
| Registered Nurse | 163W00000X | 659703-1 | NY | |
| Certified Registered Nurse Anesthetist | 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, TN
Enrollment records 3
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
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
- Johnson City Medical Center
- Adventhealth Waterman
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 659703-1 | NY | MD | Registered Nurse |
| 0001276563 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Anesthesia Services LLC | Multi-Specialty | Current | Accepting new patients |
| Orange City Anesthesia Services LLC | Multi-Specialty | Current | Accepting new patients |
| Apollo Medical Group of Ocala LLC | Multi-Specialty | Current | Accepting new patients |
| Musc Community Physicians | Multi-Specialty | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Multi-Specialty | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Multi-Specialty | Current | Accepting new patients |
| Musc Community Physicians | Multi-Specialty | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Multi-Specialty | Current | 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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Multi-Specialty
-
- Anesthesiology Physician
- Leesburg, FL
- NPI 1598624421
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Multi-Specialty
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1093741753
Multi-Specialty
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1972882314
Multi-Specialty
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
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.