Individual provider Active NPI

Peter Fernandez, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1326521568
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN9482104 Issued in FL
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

Updated by the provider on Sep 13, 2018

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190116001104 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901142702 Reassigns benefits to 7 organizations

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
Quiescence Anesthesia LLCGroup PAC ID 2567750359, 8 clinicians
Tranquil Anesthesiology LLCGroup PAC ID 0749598001, 26 clinicians

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

LicenseStateTypeSpecialty
RN9482104FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Anesthesia Services LLC CurrentSince Dec 9, 2022 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2023 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Jan 1, 2026 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2020 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Apr 3, 2025 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2023 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.

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.

Verify at the official NPI Registry.