Active NPI
Melissa Ann Fernandez, CRNA
- Certified Registered Nurse Anesthetist
- Land O' Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11011615
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9325695 | FL | MD | Critical Care Medicine Registered Nurse |
| 11011615 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | 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 | Current | 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
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- mfernandez154282@direct.tgh.org
- 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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
- NPI 1326375585
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1740852151
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
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.