Lynn Ann Wackerly, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP2935062 Issued in FL

Practice address

1600 SW Archer Rd
Gainesville, FL 32610-3003

Phone

(352) 265-0077

Fax

(352) 265-6922

NPI assigned

Jul 11, 2011

Last updated

Jan 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score

47.54 of 100Reported as apm

Quality

38.49

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Clinical Practice Association Inc

  dba UF Health Physicians

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment Care Compare group NPD
• Florida Clinical Practice Association Inc

  dba UF Health Family Medicine Ocala Heath Brook

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shands Teaching Hospital and Clinics Inc

  dba UF Health Medical Specialties Davis Cancer Pavilion

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1083403661
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  dba UF Health Medical Specialties Medical Plaza

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1144019720
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  dba UF Health Rehab Center San Felasco

  • General Acute Care Hospital
  • Alachua, FL
  • NPI 1306717889
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  dba UF Health Rehab Center Celebration Pointe

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1396616876
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  dba UF Health Rehab Center for Kids Jonesville

  • General Acute Care Hospital
  • Newberry, FL
  • NPI 1477424943
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1699874248
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1942031232

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  dba UF Health Ocala Neighborhood Hospital

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1992542369
  Care Compare affiliation

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1699063768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918025",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918025",
            "telephone_number": "352-265-0077",
            "fax_number": "352-265-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0077",
            "fax_number": "352-265-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKERLY",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2935062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003972000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Himesh Vijaykumar Vyas, MBBS
• Priyanka Vyas, MD
• W. J. Richey & Associates, PA
• Anne N Wabunyi, NP
• David Wackerly, PHARMD
• Brandon Takeshi Wada
• Cassandra Denise Waddell, PHARMD
• Erica Waddell, PMHNP-BC
• Aja Dudley Wade, PT, DPT
• Brittany Wade, PMHNP

• 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 Jan 19, 2012; 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.