Individual provider Active NPI

Shaheed Malik Stone, CRNA

  • Certified Registered Nurse Anesthetist
  • Jupiter, FL
National Provider Identifier
1598386294
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11013788 Issued in FL
Practice address
19581 Riverside Dr
Jupiter, FL 33469-2135
Phone
(561) 346-6715
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 APRN11013788 FL Primary

Addresses

Primary practice location

19581 Riverside Dr
Jupiter, FL 33469-2135

Mailing address

19581 Riverside Dr
Jupiter, FL 33469-2135
Phone (561) 346-6715

Other practice location 1

901 45th St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300

Other practice location 2

4215 Burns Rd Ste 150
West Palm Beach, FL 33410-4625
Phone (561) 508-2736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210701001765 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375944036 Reassigns benefits to 2 organizations
I20240705002668 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375944036 Reassigns benefits to 1 organization
I20251223001465 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375944036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Jan 19, 2026 Accepting new patients
Musc Community Physicians CurrentSince Jun 15, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jun 15, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 29, 2021 Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

4215 Burns Rd
Ste 150
West Palm Beach, FL 33410
Phone (561) 296-0999

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 5

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 8

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1598386294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19581 RIVERSIDE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334692135",
            "telephone_number": "561-346-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19581 RIVERSIDE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334692135",
            "telephone_number": "561-346-6715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 45th St",
            "address_purpose": "LOCATION",
            "city": "Mangonia Park",
            "state": "FL",
            "postal_code": "334072413",
            "country_code": "US",
            "telephone_number": "561-844-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Burns Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334104625",
            "country_code": "US",
            "telephone_number": "561-508-2736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "SHAHEED",
        "middle_name": "MALIK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11013788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.