Active NPI
Roseann Emmanuel
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11010829
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-7300
- NPI assigned
- Dec 2, 2020
- 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 | APRN11010829 | FL | Primary |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
8030 Old Kings Rd S Apt 79
Jacksonville, FL 32217-4165
Phone (786) 488-3527
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | healthcare.ascension.org | Direct |
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)
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
4016 Sun City Ctr Blvd
Sun City Center, FL 33573-5256
Phone (813) 634-3301
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 483-5850
5191 1St Coast Tech Pkwy
FL 1
Jacksonville, FL 32224-0609
Phone (904) 593-5146
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2025
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (954) 939-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jax Anesthesia Providers LLC | Anesthesiology | Current | Accepting new patients |
| Digestive Disease Consultants | Anesthesiology | Current | Accepting new patients |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Tranquil Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Anesthesiology | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
2151 Riverside Ave
Jacksonville, FL 32204
Phone (904) 381-8900
5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332
5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146
380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
805 Wells Rd
Fl 1
Orange Park, FL 32073
Phone (904) 643-3326
22 Underwood St
Orlando, FL 32806
Phone (321) 841-2296
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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
- Orange City, FL
- NPI 1457300998
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1245271154
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1528616810
FL, Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1710251921
Anesthesiology
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Lake Mary, FL
- NPI 1992524706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1386249944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 OLD KINGS RD S APT 79",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174165",
"telephone_number": "786-488-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMANUEL",
"first_name": "ROSEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11010829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "healthcare.ascension.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8030 Old Kings Rd S Apt 79",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322174165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.