Charles William Merry, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP 2750812 Issued in FL

Practice address

St Vincents Medical Center
Jacksonville, FL 32223

Phone

(904) 568-6698

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Jax Anesthesia Providers LLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1245271154

  FL

  Medicare reassignment Care Compare group NPD
• Anesthesia Consultants PA

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1346240066

  FL

  Medicare reassignment NPD
• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Gainesville, FL
  • NPI 1164932901

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North Florida Anesthesia Consultants Inc

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1346236866

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Panama City, FL
  • NPI 1487160263

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Kissimmee, FL
  • NPI 1902478431
  NPD
• North Florida Anesthesia Consultants, Inc.

  • Anesthesiology Physician
  • St Augustine, FL
  • NPI 1114892361
  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• Bay Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Panama City, FL
  • NPI 1093437733
  NPD (past)

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLC 883 clinicians

Jax Anesthesia Providers LLC 31 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1528046448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 PARKHURST PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566046",
            "telephone_number": "904-568-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST VINCENTS MEDICAL CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-568-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRY",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 2750812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302678700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00881669B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "62437",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marquette Merritt
• Sheila D Merritt, O.D.
• Shelly Erin Merritt, LMT
• Taylor Justice Merritt, PHARMD
• Thomas Carey Merritt, M.D.
• Ty Merry, DO
• Jalissa Melynne Mers, MOT, OTR/L
• Sarah Lindsey Mersch, OTR/L, OTD, CHT
• Katherine R Mershon, ARNP
• Brittany N Mertz, PA-C

• All providers in Jacksonville, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.