Active NPI
Andrew Conrad, CRNA
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9374698
- Practice address
- 12511 World Plaza LN
Building 50
Fort Myers, FL 33907-3991 - Phone
- (239) 939-2622
- Fax
- (239) 939-0151
- NPI assigned
- Jul 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN9374698 | FL | Primary |
Addresses
Primary practice location
12511 World Plaza LN
Building 50
Fort Myers, FL 33907-3991
Mailing address
12511 World Plaza LN
Building 50
Fort Myers, FL 33907-3991
Phone (239) 939-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
Practice addresses (Care Compare)
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 493-5005
Hospital & facility affiliations
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9374698 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Anesthesia & Pain Consultants of SW FL | Current | Accepting new patients | |
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients |
Locations
4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937
12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 3
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
- Melville, NY
- NPI 1508318387
FL
-
- Specialist
- Fort Myers, FL
- NPI 1609843275
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1770936759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12511 WORLD PLAZA LN",
"address_2": "BUILDING 50",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073991",
"telephone_number": "239-939-2622",
"fax_number": "239-939-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12511 WORLD PLAZA LN",
"address_2": "BUILDING 50",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073991",
"telephone_number": "239-939-2622",
"fax_number": "239-939-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9374698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.