Active NPI
Gwen Elizabeth Stephens, CRNA
- Certified Registered Nurse Anesthetist
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1469912
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1469912 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David W Nussear MD LLC | Current | Accepting new patients | |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Parrish Anesthesia Specialist, LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Titusville, FL
- NPI 1780997023
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1528616810
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Mary, FL
- NPI 1700042694
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
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
- Stacy Taylor, Inc. (Advance Behavior & Learning)
- Julia Stafford, RBT
- Tammy R Stafford, ED.D., A/OGA
- Jennifer Lindell Staines, M.S.-CCC-SLP
- Sari J Stender, P.A.
- Stepping Stones Behavioral Support
- Stewart Family Eye Care, PLLC
- C'Nyja Stewart, RBT
- Christopher Barrett Stewart, O.D.
- Gary Glynn Stiles Jr., ATC, LAT
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.