Individual provider Active NPI

Nicolas Grisales

  • Certified Registered Nurse Anesthetist
  • Arecibo, PR
National Provider Identifier
1679257927
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11027970 Issued in FL
Practice address
55 Calle Palma
Arecibo, PR 00612-4526
Phone
(787) 650-1030
NPI assigned
Jun 14, 2023
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 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 110085 PR
Certified Registered Nurse Anesthetist 367500000X 11027970 FL Primary

Addresses

Primary practice location

55 Calle Palma
Arecibo, PR 00612-4526

Mailing address

HC 83 Box 6615
Vega Alta, PR 00692-9778
Phone (603) 289-6980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018000188 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719332311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11027970FLMDCertified Registered Nurse Anesthetist
110085PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Coral Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Oct 10, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Oct 10, 2023 Accepting new patients
Coral Anesthesia Associates Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

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

2140 W 68th St
Hialeah, FL 33016
Phone (305) 332-2065

1879 Veterans Park Dr
Ste 1101
Naples, FL 34109
Phone (239) 248-7623

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

2621 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 444-5510

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

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

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1679257927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 83 BOX 6615",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929778",
            "telephone_number": "603-289-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE PALMA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124526",
            "telephone_number": "787-650-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISALES",
        "first_name": "NICOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "110085",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11027970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.