Active NPI
Rosebert Perissien Jr., CRNA
- Certified Registered Nurse Anesthetist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11013345
- Practice address
- 12822 88TH PL N
West Palm Beach, FL 33412-3200 - Phone
- (561) 310-8909
- NPI assigned
- Mar 31, 2020
- Last updated
- Mar 11, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 11013345 | FL | Primary |
Addresses
Primary practice location
12822 88TH PL N
West Palm Beach, FL 33412-3200
Mailing address
12822 88TH PL N
West Palm Beach, FL 33412-3200
Phone (561) 310-8909
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, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
200 Ave F NE
Winter Haven, FL 33881-4131
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
4901 Vineland Rd
Suite 150
Orlando, FL 32811-7190
Phone (470) 370-3272
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
6925 NW 11TH PL
Gainesville, FL 32605-3101
Phone (352) 331-1590
8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013345 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rest Assured Anesthesia | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Laser and Outpatient Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Laser and Outpatient Surgery Center LLC | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600
6925 NW 11th Pl
Gainesville, FL 32605
Phone (352) 331-1590
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1878 Mayo Dr
Tavares, FL 32778
Phone (352) 508-5401
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
865430 Reliable Pkwy
Chicago, IL 60686
Organizations & group practices 12
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
dba Gainesville Anesthesia Services
- Certified Registered Nurse Anesthetist
- Gainesville, FL
- NPI 1457965832
Nurse Anesthetist, Certified Registered
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1558981712
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Tavares, FL
- NPI 1235572587
-
- Ambulatory Surgical Clinic/Center
- Gainesville, FL
- NPI 1831116698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1548898000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12822 88TH PL N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334123200",
"telephone_number": "561-310-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12822 88TH PL N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334123200",
"telephone_number": "561-310-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERISSIEN",
"first_name": "ROSEBERT",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11013345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.