Individual provider Active NPI

Sheryl Lynn Forster, CRNA

  • Certified Registered Nurse Anesthetist
  • St Augustine, FL
National Provider Identifier
1518344738
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2890132 Issued in FL
Practice address
1762 Pepper Stone CT
Saint Augustine, FL 32092-5007
Phone
(904) 699-7643
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 2890132 FL Primary

Addresses

Primary practice location

1762 Pepper Stone CT
Saint Augustine, FL 32092-5007

Mailing address

1762 Pepper Stone CT
Saint Augustine, FL 32092-5007
Phone (904) 699-7643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001280 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254649874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpra Anesthesia Services LLCGroup PAC ID 0547554099, 10 clinicians

Practice addresses (Care Compare)

1693 Lee Rd
Suite a
Winter Park, FL 32789-2260
Phone (407) 287-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2890132FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fpra Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
National Surgical Centers of America LLC PastSince May 1, 2017 Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients

Locations

150 SW Chamber Ct
Ste 104
Port St Lucie, FL 34986
Phone (772) 879-5300

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1518344738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 PEPPER STONE CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925007",
            "telephone_number": "904-699-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 PEPPER STONE CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925007",
            "telephone_number": "904-699-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTER",
        "first_name": "SHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "2890132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.