Active NPI
Peter Dale Wrinkle, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3310442
- Practice address
- 615 N Bonita Ave
Panama City, FL 32401-3623 - Phone
- (850) 747-6050
- NPI assigned
- Sep 7, 2011
- 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 | 3310442 | FL | Primary |
Addresses
Primary practice location
615 N Bonita Ave
Panama City, FL 32401-3623
Mailing address
306 Cardiff CT
Panama City, FL 32404-8526
Phone (850) 871-6567
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 59TH St W
HCA Florida Blake Hospital
Bradenton, FL 34209-4604
Phone (941) 792-6611
5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 202-4700
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511
7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (850) 278-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3310442 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Anesthetist Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1770834426
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1437430188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CARDIFF CT",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324048526",
"telephone_number": "850-871-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N BONITA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013623",
"telephone_number": "850-747-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRINKLE",
"first_name": "PETER",
"middle_name": "DALE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "3310442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.