Individual provider Active NPI

Mitsa Y Greene, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1386883783
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3405122 Issued in FL
Practice address
7051 Southpoint Pkwy S
#100
Jacksonville, FL 32216-8713
Phone
(904) 854-4854
NPI assigned
Feb 10, 2009
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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 ARNP3405122 FL Primary

Addresses

Primary practice location

7051 Southpoint Pkwy S
#100
Jacksonville, FL 32216-8713

Mailing address

12925 Littleton Bend Rd
Jacksonville, FL 32224-7904
Phone (904) 613-1959

Other identifiers 3

IdentifierTypeStateIssuer
625003589AMedicaidGA
625003589BMedicaidGA
0007362-00MedicaidFL

Other names 1

  • Mitsa Yovanofski Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413002731 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749334431 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norris and Love Orthopaedic and Sports PCGroup PAC ID 4981695228, 12 clinicians
Anesthesiology Group Associates PCGroup PAC ID 0547233959, 47 clinicians
Ivory Coast Anesthesia Management LLCGroup PAC ID 4880039676, 29 clinicians

Practice addresses (Care Compare)

1900 Saint Charles St
Jasper, IN 47546-9145
Phone (812) 634-1211

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 473-0181

600 W 13TH St
Memorial Outpatient Surgery Center
Jasper, IN 47546-1881
Phone (812) 996-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
86.27
Promoting interoperability
100
Improvement activities
40
Cost
79.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2023 Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Ivory Coast Anesthesia Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2024 Accepting new patients
Anesthesiology Group Associates PC Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2024 Accepting new patients
Norris & Love Orthopaedic & Sports PC CurrentSince Oct 12, 2023 Accepting new patients
Saint Charles Surgical Pavilion Inc CurrentSince Jun 5, 2025 Accepting new patients
Saint Charles Surgical Pavilion Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2025 Accepting new patients
Southpoint Surgery Center Past Accepting new patients
Digestive Care of Evansville PC PastSince Jan 1, 2024 Accepting new patients

Locations

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone 90439827201308

7051 Southpoint Pkwy S
Ste 100
Jacksonville, FL 32216
Phone (904) 854-4854

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

1900 Saint Charles St
Jasper, IN 47546
Phone (812) 634-1211

600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 266-2933

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

3800 Venetian Way
Ste 100
Newburgh, IN 47630
Phone (812) 266-2903

53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174

1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

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": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1386883783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12925 LITTLETON BEND RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247904",
            "telephone_number": "904-613-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY S",
            "address_2": "#100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168713",
            "telephone_number": "904-854-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MITSA",
        "middle_name": "Y",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3405122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625003589A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625003589B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007362-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITSA",
            "last_name": "YOVANOFSKI",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 23, 2013; 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.