Active NPI
Jeannine Catherine Heiss Wunderlich, CRNA
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP2811442
- Practice address
- 6820 International Center Blvd
Fort Myers, FL 33912-7129 - Phone
- (239) 360-8000
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- 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 | ARNP2811442 | FL | Primary |
Addresses
Primary practice location
6820 International Center Blvd
Fort Myers, FL 33912-7129
Mailing address
14013 Clear Water LN
Fort Myers, FL 33907-8097
Phone (239) 281-4627
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6820 International Ctr Blvd
Fort Myers, FL 33912-7129
Phone (239) 210-0301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2811442 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Pain Consultants of SW FL | Current | Accepting new patients | |
| FMFL Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937
12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300
6820 International Center Blvd
Fort Myers, FL 33912
Phone (239) 210-0301
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1871127134
Nurse Anesthetist, Certified Registered
-
- Specialist
- Fort Myers, FL
- NPI 1609843275
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1356662944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14013 CLEAR WATER LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339078097",
"telephone_number": "239-281-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 INTERNATIONAL CENTER BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339127129",
"telephone_number": "239-360-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNDERLICH",
"first_name": "JEANNINE",
"middle_name": "CATHERINE HEISS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP2811442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.