Individual provider Active NPI

Kenneth J Kraushar, CRNA

  • Certified Registered Nurse Anesthetist
  • Wellington, FL
National Provider Identifier
1780691410
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3361762 Issued in FL
Practice address
13611 Northumberland Cir
Wellington, FL 33414-8931
Phone
(561) 333-9079
Fax
(561) 333-0634
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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 ARNP3361762 FL Primary

Addresses

Primary practice location

13611 Northumberland Cir
Wellington, FL 33414-8931

Mailing address

13611 Northumberland Cir
Wellington, FL 33414-8931
Phone (561) 333-9079

Other identifiers 2

IdentifierTypeStateIssuer
300994700MedicaidFL
G2573OtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000068 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860485901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians

Practice addresses (Care Compare)

3800 Johnson St
Suite D
Hollywood, FL 33021-6052
Phone (917) 681-4963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lucie Anesthesia Associates, LLC CurrentSince Feb 1, 2015 Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Feb 1, 2015 Accepting new patients
Anesthesia & Pain Medicine PA Past Accepting new patients
Anesthesia and Critical Care Specialists of Palm Beach, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Florida Anesthesiology & Pain Clinic PA Past Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Past Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Outpatient Solutions, P.a. Past Accepting new patients
Florida Ambulatory Anesthesia LLC Past Accepting new patients

Locations

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222

900 Village Square Xing
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 346-7698

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

2096 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-0174

3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1780691410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 NORTHUMBERLAND CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148931",
            "telephone_number": "561-333-9079",
            "fax_number": "561-333-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 NORTHUMBERLAND CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148931",
            "telephone_number": "561-333-9079",
            "fax_number": "561-333-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSHAR",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3361762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300994700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "G2573",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.