Individual provider Active NPI

Charlie Crosby, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
National Provider Identifier
1598028599
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9228538 Issued in FL
Practice address
3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392
Phone
(352) 237-2400
Fax
(352) 304-6327
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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 ARNP9228538 FL Primary

Addresses

Primary practice location

3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392

Mailing address

3309 SW 34TH Cir
Ste 101
Ocala, FL 34474-3392
Phone (352) 237-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000882 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628234614 Reassigns benefits to 3 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
Amelia Anesthesia PL 16 clinicians

Practice addresses (Care Compare)

1250 S 18TH St
Fernandina Beach, FL 32034-3098
Phone (904) 321-3500

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Amelia Anesthesia, PL CurrentSince Mar 20, 2022 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Dec 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 1, 2021 Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

Organizations & group practices 6

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.

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1598028599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 SW 34TH CIR",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743392",
            "telephone_number": "352-237-2400",
            "fax_number": "352-304-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SW 34TH CIR",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743392",
            "telephone_number": "352-237-2400",
            "fax_number": "352-304-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "CHARLIE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9228538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.