Jonathan Vicencio

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN11005783 Issued in FL

Practice address

88 Emerald Lake Dr
Palm Coast, FL 32137-1311

Phone

(631) 455-3034

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Physician Solutions of North Florida LLCGroup PAC ID 5597066001, 280 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Gainesville, FL
  • NPI 1164932901

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Kissimmee, FL
  • NPI 1902478431
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osceola Regional Hospital, Inc.

  • General Acute Care Hospital
  • Kissimmee, FL
  • NPI 1689621450
  Care Compare affiliation

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1790315307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 EMERALD LAKE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321371311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 EMERALD LAKE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321371311",
            "telephone_number": "631-455-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENCIO",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11005783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verones & Company PLC
• Verones and Associates
• Denise Verones, PHD
• Veyora Medical LLC
• Antonio Sison Vicencio III, M.D.
• Victorina'S Diabetes Endocrinology and Metabolism, Inc
• Donna Vieitez
• Vanesa Veronica Villar, PMHNP-BC
• Jesenia Villoldo, LMFT, LMHC
• Diana Viola

• Certified Registered Nurse Anesthetist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.