Individual provider Active NPI

Gwen Elizabeth Stephens, CRNA

  • Certified Registered Nurse Anesthetist
  • Oviedo, FL
National Provider Identifier
1578828794
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1469912 Issued in FL
Practice address
2039 Kimberwicke Cir
Oviedo, FL 32765-7577
Phone
(407) 865-2833
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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 1469912 FL Primary

Addresses

Primary practice location

2039 Kimberwicke Cir
Oviedo, FL 32765-7577

Mailing address

2039 Kimberwicke Cir
Oviedo, FL 32765-7577
Phone (407) 865-2833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000491 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486803806 Reassigns benefits to 6 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
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians
Parrish Anesthesia Specialist, LLCGroup PAC ID 8921289943, 36 clinicians

Practice addresses (Care Compare)

740 Concourse Pkwy S
Suite 100
Maitland, FL 32751-8101
Phone (407) 644-4222

814 S Washington Ave
Titusville Center Surgery Excel
Titusville, FL 32780-4262
Phone (321) 567-6300

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1469912FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
David W Nussear MD LLC CurrentSince May 23, 2023 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 12, 2025 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jun 12, 2025 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2023 Accepting new patients
Parrish Anesthesia Specialist, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

814 S Washington Ave
Titusville, FL 32780
Phone (321) 567-6300

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1578828794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 KIMBERWICKE CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657577",
            "telephone_number": "407-865-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 KIMBERWICKE CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657577",
            "telephone_number": "407-865-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "GWEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1469912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.