Individual provider Active NPI

Derrek Bletsh, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Boca Raton, FL
National Provider Identifier
1427863950
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11037509 Issued in FL
Practice address
21644 State Road 7
Boca Raton, FL 33428-1899
Phone
(561) 488-8000
NPI assigned
Feb 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 APRN11037509 FL Primary

Addresses

Primary practice location

21644 State Road 7
Boca Raton, FL 33428-1899

Mailing address

4743 NW 5TH CT
Coconut Creek, FL 33063-6740
Phone (440) 773-2857

Other practice location 1

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312002309 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739600255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (866) 507-5244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Dec 30, 2025 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Feb 1, 2025 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Feb 1, 2025 Accepting new patients
Tenet Florida Physician Services LLC PastSince Aug 23, 2020 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9970 Central Park Blvd N
Ste 404
Boca Raton, FL 33428
Phone (561) 451-0500

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

5440 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-1000

5352 Linton Blvd
Ste 100
Delray Beach, FL 33484
Phone (561) 498-2249

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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.

Hospital & facility affiliations 1

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1427863950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 NW 5TH CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330636740",
            "telephone_number": "440-773-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21644 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281899",
            "telephone_number": "561-488-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5352 Linton Blvd",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846514",
            "country_code": "US",
            "telephone_number": "561-498-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLETSH",
        "first_name": "DERREK",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11037509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.