Individual provider Active NPI

Justin Matthew Cournoyer, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1699312975
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11005405 Issued in FL
Practice address
501 6TH Ave S
St Petersburg, FL 33701-4634
Phone
(252) 671-6663
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9420507 FL
Certified Registered Nurse Anesthetist 367500000X APRN11005405 FL Primary

Addresses

Primary practice location

501 6TH Ave S
St Petersburg, FL 33701-4634

Mailing address

1415 7TH Ave N
St Petersburg, FL 33705-1313

Other practice location 1

701 6th St S
St Petersburg, FL 33701-4814
Phone (321) 841-2335

Other identifiers 1

IdentifierTypeStateIssuer
105565700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210825000705 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658776935 Reassigns benefits to 9 organizations
I20241219002696 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658776935 Reassigns benefits to 1 organization
I20260223000877 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658776935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians
Pinellas County Anesthesia Associates, LLCGroup PAC ID 3779971734, 62 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Anesthesia Services of Manatee LLCGroup PAC ID 9638488166, 10 clinicians
Novus Pennsylvania Professional CorporationGroup PAC ID 6800259631, 18 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1109 US Hwy 19
Holiday, FL 34691-5638
Phone (727) 934-5705

2323 Curlew Rd
Dunedin, FL 34698-9330
Phone (727) 771-8333

2323 Curlew Rd
Suite 5
Dunedin, FL 34698-9307
Phone (727) 771-8333

5817 21St Ave W
Bradenton, FL 34209-5641
Phone (941) 794-0379

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 893-6182

Hospital & facility affiliations

  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9420507FLMDRegistered Nurse
APRN11005405FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 13, 2025 Accepting new patients
Carolinaeast Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jan 13, 2025 Accepting new patients
Ohi West Medical Group, LLC Current Accepting new patients
Carolinaeast Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 13, 2025 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jan 13, 2025 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Novus Pennsylvania Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2026 Accepting new patients
Pinellas County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2024 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2026 Accepting new patients
Windber Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

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

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

6945 1st Ave S
St Petersburg, FL 33707
Phone (727) 302-9200

6918 Gunn Hwy
Tampa, FL 33625
Phone (813) 891-6310

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: jcournoyer752818@direct.hopkinsmedicine.org
  • Direct secure messaging: jcournoyer214111@orlandohealth.medalliesdirect.net

Organizations & group practices 17

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.

View all 17

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1699312975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 6TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014634",
            "telephone_number": "252-671-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 6th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014814",
            "country_code": "US",
            "telephone_number": "321-841-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURNOYER",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9420507",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11005405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105565700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.