Individual provider Active NPI

Minerva Betancourt, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocoee, FL
National Provider Identifier
1467488239
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2000412 Issued in FL
Practice address
10000 W Colonial Dr
Ocoee, FL 34761-3498
Phone
(407) 667-0444
Fax
(407) 667-4338
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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 ARNP2000412 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr
Ocoee, FL 34761-3498

Mailing address

291 Southhall LN
Suite 201
Maitland, FL 32751-7274
Phone (407) 667-0444

Other identifiers 1

IdentifierTypeStateIssuer
G3663OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000357 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769372903 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Anesthesia Services LLCGroup PAC ID 3870491038, 5 clinicians

Practice addresses (Care Compare)

105 Bonnie Loch CT
Orlando, FL 32806-2909
Phone (407) 428-0040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David W Nussear MD LLC CurrentSince Nov 16, 2011 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2019 Accepting new patients
Florida Eye Clinic Ambulatory Surgery Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Orange City Anesthesia Services LLC CurrentSince Jul 16, 2013 Accepting new patients
Anesthesia & Pain PA CurrentSince Jun 2, 2019 Accepting new patients
Ophthalmology Anesthesia Services LLC CurrentSince Feb 12, 2019 Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Tri-County Anesthesia Volusia Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

291 Southhall Ln
Ste 201
Maitland, FL 32751
Phone 40766704444

255 N Sykes Creek Pkwy
Merritt Island, FL 32953
Phone (321) 453-5050

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

3710 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 383-1268

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

105 Bonnie Loch Ct
Orlando, FL 32806
Phone (407) 428-0040

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1467488239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SOUTHHALL LN",
            "address_2": "SUITE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517274",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613498",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "MINERVA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2000412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3663",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.