Individual provider Active NPI

Jeanine Fernandez, CRNA

  • Certified Registered Nurse Anesthetist
  • Daytona Beach, FL
National Provider Identifier
1669725891
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9358100 Issued in FL
Practice address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone
(386) 231-3518
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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 9358100 FL Primary
Certified Registered Nurse Anesthetist 367500000X 1795 PR

Addresses

Primary practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Mailing address

Street 2 B5, Mansiones del Toa
Toa Alta, PR 00953-2226
Phone (787) 667-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430001710 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325281009 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9358100FLMDCertified Registered Nurse Anesthetist
1795PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Anesthesia Services LLC CurrentSince Aug 10, 2018 Accepting new patients
Space Coast Anesthesia Services LLC CurrentSince Feb 20, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Oct 1, 2018 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2024 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 12, 2023 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Apr 25, 2022 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2020 Accepting new patients

Locations

1871 Lpga Blvd
Daytona Beach, FL 32117
Phone (386) 366-8181

305 Memorial Medical Pkwy
Ste 205
Daytona Beach, FL 32117
Phone (386) 231-3530

541 Health Blvd
Daytona Beach, FL 32114
Phone (386) 239-0021

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

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

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

1053 Medical Center Dr
Ste 201
Orange City, FL 32763
Phone (386) 405-1424

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

2863 Wellness Ave
Orange City, FL 32763
Phone (286) 297-7239

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

345 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 672-7575

1545 Hand Ave
Ste A2
Ormond Beach, FL 32174
Phone (386) 457-7114

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

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

Interoperability endpoints

  • Direct secure messaging: jfernandez244626@adventhealth.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1669725891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET 2 B5, MANSIONES DEL TOA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532226",
            "telephone_number": "787-667-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JEANINE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9358100",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "1795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.