Individual provider Active NPI

Kyle Steven Scott

  • Certified Registered Nurse Anesthetist
  • Ponte Vedra, FL
National Provider Identifier
1609411586
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11005725 Issued in FL
Practice address
26 Valley Grove Dr
Ponte Vedra, FL 32081-6163
Phone
(904) 903-0195
NPI assigned
Nov 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN9336882 FL
Certified Registered Nurse Anesthetist 367500000X APRN11005725 FL Primary

Addresses

Primary practice location

26 Valley Grove Dr
Ponte Vedra, FL 32081-6163

Mailing address

26 Valley Grove Dr
Ponte Vedra, FL 32081-6163

Other practice location 1

3625 University Blvd S
Jacksonville, FL 32216-4222
Phone (904) 702-6111

Other identifiers 1

IdentifierTypeStateIssuer
367500000XMedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kscott1384626@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200316000969 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436587995 Reassigns benefits to 4 organizations
I20240403003326 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436587995 Reassigns benefits to 1 organization
I20260522002803 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436587995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Anesthesia Medicine Services of FL LLCGroup PAC ID 9537524343, 166 clinicians
Greenland Anesthesia Management, LLCGroup PAC ID 2668886425, 21 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141

502 W Highland Blvd
Citrus Memorial Hospital
Inverness, FL 34452-4720
Phone (352) 726-1551

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9336882FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2021 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Greenland Anesthesia Management, LLC CurrentSince Aug 31, 2025 Accepting new patients
Anesthesia Medicine Services of FL, LLC CurrentSince Aug 22, 2025 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2024 Accepting new patients

Locations

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

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

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

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

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

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

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

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

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

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

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

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

180 Southpark Blvd
St Augustine, FL 32086
Phone (904) 471-9633

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

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

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 2

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1609411586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VALLEY GROVE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VALLEY GROVE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816163",
            "telephone_number": "904-903-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164222",
            "country_code": "US",
            "telephone_number": "904-702-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KYLE",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9336882",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11005725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367500000X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kscott1384626@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.