Individual provider Active NPI

Noel Maryanna Barnwell, CRNA

  • Certified Registered Nurse Anesthetist
  • Orange Park, FL
National Provider Identifier
1578804209
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9262988 Issued in FL
Practice address
1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490
Phone
(904) 215-7015
Fax
(904) 215-7715
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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 ARNP9262988 FL Primary

Addresses

Primary practice location

1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490

Mailing address

2355 Mills Rd
Jacksonville, FL 32216-5236
Phone (904) 813-4863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000412 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668619149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9262988FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince May 24, 2023 Accepting new patients

Locations

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1465 Kingsley Ave
Ste 1201
Orange Park, FL 32073
Phone (904) 215-7015

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1578804209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 MILLS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165236",
            "telephone_number": "904-813-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 KINGSLEY AVE",
            "address_2": "SUITE 105",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734490",
            "telephone_number": "904-215-7015",
            "fax_number": "904-215-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNWELL",
        "first_name": "NOEL",
        "middle_name": "MARYANNA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9262988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.