Individual provider Active NPI

Jerrica Nicole Eggleston, CRNA

  • Certified Registered Nurse Anesthetist
  • Boca Raton, FL
National Provider Identifier
1568188084
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11034681 Issued in FL
Practice address
501 Glades Rd
Boca Raton, FL 33432-1419
Phone
(561) 362-4400
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 138406 AL
Certified Registered Nurse Anesthetist 367500000X APRN11034681 FL Primary

Addresses

Primary practice location

501 Glades Rd
Boca Raton, FL 33432-1419

Mailing address

310 W Nassau Ave
Muscle Shoals, AL 35661-4757
Phone (256) 810-4239

Other practice location 1

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221230002317 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577933845 Reassigns benefits to 8 organizations
I20240823004002 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577933845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Glades Rd
Boca Raton, FL 33432-1419
Phone (954) 939-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138406ALMDCertified Registered Nurse Anesthetist
APRN11034681FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2022 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2022 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Aug 11, 2024 Accepting new patients
St. Lucie Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2024 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Dec 12, 2022 Accepting new patients
Medical Park Hospital LLC CurrentSince Dec 12, 2022 Accepting new patients
Medical Park Hospital LLC CurrentSince Dec 12, 2022 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2022 Accepting new patients
St Lucie Anesthesia Associates LLC Current Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2022 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Dec 12, 2022 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2022 Accepting new patients

Locations

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

1801 W Sample Rd
Ste 200
Deerfield Beach, FL 33064
Phone (954) 904-0723

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

5301 N Dixie Hwy
Ste 100
Oakland Park, FL 33334
Phone (954) 771-3334

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1568188084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W NASSAU AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356614757",
            "telephone_number": "256-810-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321419",
            "telephone_number": "561-362-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "JERRICA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "138406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11034681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.