Individual provider Active NPI

Melissa Ann Fernandez, CRNA

  • Certified Registered Nurse Anesthetist
  • Land O' Lakes, FL
National Provider Identifier
1346832615
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11011615 Issued in FL
Practice address
17339 Blooming Fields Dr
Land O Lakes, FL 34638-7222
Phone
(786) 447-3010
NPI assigned
Feb 8, 2021
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 9325695 FL
Certified Registered Nurse Anesthetist 367500000X 11011615 FL Primary

Addresses

Primary practice location

17339 Blooming Fields Dr
Land O Lakes, FL 34638-7222

Mailing address

17339 Blooming Fields Dr
Land O Lakes, FL 34638-7222
Phone (786) 447-3010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001431 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315353190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9325695FLMDCritical Care Medicine Registered Nurse
11011615FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 18, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 18, 2022 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

850 111th Ave N
Naples, FL 34108
Phone (239) 596-2557

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mfernandez154282@direct.tgh.org
  • Direct secure messaging: mfernandez321011@orlandohealth.medalliesdirect.net

Organizations & group practices 9

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.

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1346832615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17339 BLOOMING FIELDS DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387222",
            "telephone_number": "786-447-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17339 BLOOMING FIELDS DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387222",
            "telephone_number": "786-447-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9325695",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11011615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.