Active NPI
Christopher Daniel Nelson, CAA
- Anesthesiologist Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA552
- Practice address
- 10199 Southside Blvd Ste 101
Jacksonville, FL 32256-0757 - Phone
- (904) 999-2802
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA552 | FL | Primary |
| Anesthesiologist Assistant | 367H00000X |
Addresses
Primary practice location
10199 Southside Blvd Ste 101
Jacksonville, FL 32256-0757
Mailing address
8712 Como Lake Dr
Jacksonville, FL 32256-8432
Phone (706) 970-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 532-7179
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
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia of North Georgia, LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Anesthesiologist Assistant | Current | Accepting new patients |
| Anesthesia Associates of Gainesville, LLC | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1488 Jesse Jewell Pkwy SE
Ste 201
Gainesville, GA 30501
Phone (678) 253-0175
1296 Sims St
Ste B
Gainesville, GA 30501
Phone (770) 534-1856
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Gainesville, GA
- NPI 1457456485
-
- Anesthesiology Physician
- Gainesville, GA
- NPI 1497870562
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1407497332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8712 COMO LAKE DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568432",
"telephone_number": "706-970-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10199 SOUTHSIDE BLVD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560757",
"telephone_number": "904-999-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTOPHER",
"middle_name": "DANIEL",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA552",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 29, 2019; 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.