Individual provider Active NPI

Rosebert Perissien Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • West Palm Beach, FL
National Provider Identifier
1548898000
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11013345 Issued in FL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20210621002004 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901206457 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Metro Orlando Anesthesia Associates, LLCGroup PAC ID 4789008335, 8 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

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

LicenseStateTypeSpecialty
11013345FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 17, 2024 Accepting new patients
Rest Assured Anesthesia CurrentSince Apr 13, 2024 Accepting new patients
SMH Physician Services Inc CurrentSince Jun 22, 2024 Accepting new patients
Laser and Outpatient Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2025 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2021 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2025 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.

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.

Verify at the official NPI Registry.