Active NPI
Peter Fernandez, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9482104
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (646) 409-9677
- NPI assigned
- Sep 13, 2018
- 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 | RN9482104 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
12430 Sunchase Dr
Jacksonville, FL 32246-4216
Phone (646) 409-9677
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10475 Centurion Pkwy N
Suite 201
Jacksonville, FL 32256-5004
Phone (904) 223-3321
15548 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (407) 547-1654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9482104 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floridian Anesthesia Services LLC | Current | Accepting new patients | |
| Florida Pain Relief Group PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ironcrest Anesthesia LLC | Current | Accepting new patients | |
| Vision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tranquil Anesthesiology LLC | Current | Accepting new patients | |
| Quiescence Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eminence Anesthesia LLC | Past | Accepting new patients |
Locations (25 of 27)
93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088
980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752
5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166
9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597
11705 San Jose Blvd
Ste 110
Jacksonville, FL 32223
Phone (904) 292-2700
5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146
5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332
9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020
10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118
619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400
8950 SW 74th Ct
Ste 2201
Miami, FL 33156
Phone (305) 238-9855
2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200
1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484
1724 33rd St
Ste 200
Orlando, FL 32839
Phone (407) 385-1551
6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (321) 939-3300
598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565
1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303
3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175
2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608
4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919
15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654
414 5th Ave
Albany, GA 31701
Phone (229) 432-9515
1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1942671805
FL, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1598391195
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1134740319
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1528616810
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Forsyth, GA
- NPI 1497219240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1326521568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12430 SUNCHASE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322464216",
"telephone_number": "646-409-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "646-409-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "PETER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9482104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.