Active NPI
Derrek Bletsh, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11037509
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| American Anesthesiology of Florida, Inc | Current | Accepting new patients | |
| American Anesthesiology of Florida, Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Past | 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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1760741797
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
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.