Individual provider Active NPI

Shandyn L. Diclaudio, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1366670812
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9206405 Issued in FL
Practice address
225 E Robinson St
Suite #130
Orlando, FL 32801-4322
Phone
(407) 581-9180
Fax
(407) 926-9173
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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 ARNP9206405 FL Primary

Addresses

Primary practice location

225 E Robinson St
Suite #130
Orlando, FL 32801-4322

Mailing address

PO Box 4918
Orlando, FL 32802-4918
Phone (407) 581-9180

Other identifiers 2

IdentifierTypeStateIssuer
0013486 00MedicaidFL
G002GOtherFLBCBS

Other names 1

  • Shandyn L. Diclaudio Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000757 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951448158 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
North Tampa Anesthesia ConsultantsGroup PAC ID 2860474483, 20 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

2200 W Eau Gallie Blvd
Suite 100
Melbourne, FL 32935-3166
Phone (321) 795-6095

8240 Devereux Dr
Suite 100
Melbourne, FL 32940-8200
Phone (888) 851-4642

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9206405FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 4, 2023 Accepting new patients
Amsurg Melbourne Anesthesia LLC CurrentSince Mar 23, 2020 Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2016 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2026 Accepting new patients
Live Oak Endoscopy Center, LLC CurrentSince Oct 16, 2024 Accepting new patients
Steward Anesthesiology Physicians of Florida Inc. CurrentSince Nov 26, 2020 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Apr 2, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2024 Accepting new patients
Vero Anesthesia CurrentSince Jul 1, 2021 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

11575 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 788-2662

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

2200 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 344-0930

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102

1401 S Apollo Blvd
Ste B
Melbourne, FL 32901
Phone (321) 725-5151

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1310 SE West Star Ave
Port St Lucie, FL 34952
Phone (772) 335-7171

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

4947 Clark Rd
Sarasota, FL 34233
Phone (866) 865-2020

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3955 Indian River Blvd
Ste 220
Vero Beach, FL 32960
Phone (772) 213-3600

1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (954) 821-3011

275 18th St
Ste 101
Vero Beach, FL 32960
Phone (772) 299-5005

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1366670812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4918",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328024918",
            "telephone_number": "407-581-9180",
            "fax_number": "407-926-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E ROBINSON ST",
            "address_2": "SUITE #130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014322",
            "telephone_number": "407-581-9180",
            "fax_number": "407-926-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICLAUDIO",
        "first_name": "SHANDYN",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9206405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013486 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G002G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDYN",
            "last_name": "DICLAUDIO",
            "middle_name": "L.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.