Individual provider Active NPI

Gabriel Andres Rosado-Rodriguez, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Augustine, FL
National Provider Identifier
1306331152
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
122398 Issued in FL
Practice address
400 Health Park Blvd
Saint Augustine, FL 32086-5784
Phone
(904) 819-5155
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 122398 FL Primary

Addresses

Primary practice location

400 Health Park Blvd
Saint Augustine, FL 32086-5784

Mailing address

39 Dolphin Drive
Saint Augustine, FL 32080
Phone (904) 540-4774

Other practice location 1

1400 US Highway 1 S
St Augustine, FL 32084-4211
Phone (904) 829-2344

Other practice location 2

2460 Old Moultrie Rd Ste 3
St Augustine, FL 32086-4198
Phone (904) 797-6627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204001770 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779827670 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Northern Florida Anesthesia Services PLLCGroup PAC ID 8527312800, 12 clinicians
Jax Anesthesia Providers LLCGroup PAC ID 5698783702, 31 clinicians
American Anesthesiology Services of Florida IncGroup PAC ID 1850674540, 159 clinicians

Practice addresses (Care Compare)

2386 Dunn Ave
Suite 111
Jacksonville, FL 32218-4751
Phone (904) 449-7246

40 Groover Loop
St Augustine, FL 32086-6564
Phone (904) 483-5850

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 493-5005

6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
122398FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Services of Florida, Inc. CurrentSince Dec 31, 2023 Accepting new patients
Northern Florida Anesthesia Services PLLC CurrentSince Feb 1, 2021 Accepting new patients
Jax Anesthesia Providers LLC CurrentSince Feb 1, 2022 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2021 Accepting new patients

Locations

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

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

2386 Dunn Ave
Ste 111
Jacksonville, FL 32218
Phone (904) 449-7246

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

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

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1400 US Highway 1 S
Saint Augustine, FL 32084
Phone (904) 829-2286

105 Whitehall Dr
Ste 115116
St Augustine, FL 32086
Phone (904) 800-7246

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

40 Groover Loop
St Augustine, FL 32086
Phone (904) 483-5850

2460 Old Moultrie Rd
Ste 3
St Augustine, FL 32086
Phone (904) 797-6617

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

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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.

Hospital & facility affiliations 2

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1306331152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DOLPHIN DRIVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-540-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 US Highway 1 S",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320844211",
            "country_code": "US",
            "telephone_number": "904-829-2344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 Old Moultrie Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320864198",
            "country_code": "US",
            "telephone_number": "904-797-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO-RODRIGUEZ",
        "first_name": "GABRIEL",
        "middle_name": "ANDRES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "122398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.