Active NPI
Oscar A Cardenas, RN, BSN, CCRN
- Certified Registered Nurse Anesthetist
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11019697
- Practice address
- 178 SW Glenwood Dr
Port Saint Lucie, FL 34984-5025 - Phone
- (239) 682-3042
- NPI assigned
- Mar 30, 2020
- Last updated
- Mar 23, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11019697 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN9367866 | FL |
Addresses
Primary practice location
178 SW Glenwood Dr
Port Saint Lucie, FL 34984-5025
Mailing address
178 SW Glenwood Dr
Port Saint Lucie, FL 34984-5025
Phone (239) 682-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9367866 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients |
Locations
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Organizations & group practices 4
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
- Stuart, FL
- NPI 1013350875
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
dba Inpatient Physician Services
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1346878873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 SW GLENWOOD DR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349845025",
"telephone_number": "239-682-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 SW GLENWOOD DR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349845025",
"telephone_number": "239-682-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "OSCAR",
"middle_name": "A",
"credential": "RN, BSN, CCRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11019697",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "RN9367866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.