Active NPI
Justin Matthew Cournoyer, CRNA
- Certified Registered Nurse Anesthetist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11005405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105565700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC, PA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 StaffingPinellas County Anesthesia Associates, LLCAnesthesia Dynamics LLCAnesthesia Services of Manatee LLCNovus Pennsylvania Professional CorporationOrlando Health Medical Group Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9420507 | FL | MD | Registered Nurse |
| APRN11005405 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Carolinaeast Medical Center | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Carolinaeast Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Office Anesthesia Staffing | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novus Pennsylvania Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pinellas County Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | 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
- jcournoyer752818@direct.hopkinsmedicine.org
- 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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Saint Petersburg, FL
- NPI 1972232023
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dunedin, FL
- NPI 1780253419
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Windber, PA
- NPI 1508541392
Nurse Anesthetist, Certified Registered, PA
-
- Certified Registered Nurse Anesthetist
- Bradenton, FL
- NPI 1699153064
FL
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Bern, NC
- NPI 1710923875
NC, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
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.