Individual provider Active NPI

Ian Xavier Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1710648332
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11017281 Issued in FL
Practice address
11750 SW 40TH St
Miami, FL 33175-3530
Phone
(305) 223-3000
NPI assigned
Jan 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11017281 FL Primary

Addresses

Primary practice location

11750 SW 40TH St
Miami, FL 33175-3530

Mailing address

9721 169TH CT N
Jupiter, FL 33478-4843
Phone (212) 470-9482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231102000443 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608260187 Reassigns benefits to 3 organizations
I20231102000541 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608260187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
71.38
Promoting interoperability
100
Improvement activities
40
Cost
74.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11017281FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 16, 2023 Accepting new patients
Orthopedic Associates of Northern California a Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Premier Anesthesia of Oregon PC CurrentSince Sep 20, 2023 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 16, 2023 Accepting new patients
Cep America - Anesthesia PC Past Accepting new patients

Locations

131 Raley Blvd
Chico, CA 95928
Phone (530) 897-4500

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

2179 Court St
Redding, CA 96001
Phone (530) 246-7000

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5678/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ian.anderson.1@5678.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1710648332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 169TH CT N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784843",
            "telephone_number": "212-470-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "IAN",
        "middle_name": "XAVIER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11017281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.