Individual provider Active NPI

Cristina M Irizarry-Leon, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
National Provider Identifier
1700353984
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11000611 Issued in FL
Practice address
12101 S Gardens Dr Apt 106
Palm Beach Gardens, FL 33418-5905
Phone
(787) 243-2076
NPI assigned
Oct 25, 2018
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 114286 FL
Certified Registered Nurse Anesthetist 367500000X 114286 PR
Registered Nurse 163W00000X 9500025 FL
Certified Registered Nurse Anesthetist 367500000X APRN11000611 FL Primary

Addresses

Primary practice location

12101 S Gardens Dr Apt 106
Palm Beach Gardens, FL 33418-5905

Mailing address

12101 S Gardens Dr Apt 106
Palm Beach Gardens, FL 33418-5905
Phone (787) 243-2076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211002629 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325386774 Reassigns benefits to 1 organization

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
PBG Team Anesthesia PAGroup PAC ID 5092856757, 46 clinicians

Practice addresses (Care Compare)

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (800) 694-7225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9500025FLMDRegistered Nurse
114286FLMDCertified Registered Nurse Anesthetist
APRN11000611FLMDCertified Registered Nurse Anesthetist
114286PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
PBG Team Anesthesia PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients

Locations

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 1

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1700353984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 S GARDENS DR APT 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185905",
            "telephone_number": "787-243-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 S GARDENS DR APT 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185905",
            "telephone_number": "787-243-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-LEON",
        "first_name": "CRISTINA",
        "middle_name": "M",
        "credential": "MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "114286",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "114286",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9500025",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11000611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.