Joel Pellot, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP 9404875 Issued in FL

Practice address

4131 NW 13TH St Ste 101
Gainesville, FL 32609-1858

Phone

(787) 399-4643

NPI assigned

May 30, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Simedhealth LLC

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1639680127
  NPD (past)

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1609256155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND CAPARRA REAL",
            "address_2": "254 CARR 2, APT 202",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661905",
            "telephone_number": "787-399-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 13TH ST STE 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326091858",
            "telephone_number": "787-399-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOT",
        "first_name": "JOEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9404875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kay Peele, D.C.
• Ilainis Pelaez, COTA
• Jessica Andrea Pelaez
• Cynthia Lee Pelham, MSW
• Joseph Peter Ray Pelletier, MD
• Cassady Jane Pelphrey, MS
• Jacquelyn Pelt
• Julie R Pembleton-Corbett, DVM
• Nayrobi Maitelic Pena Cotui, MD
• Brandi Pena

• Certified Registered Nurse Anesthetist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.