Individual provider Active NPI

Clement Eric Arnold, CRNA

  • Certified Registered Nurse Anesthetist
  • Kissimmee, FL
National Provider Identifier
1790728756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9173620 Issued in FL
Practice address
2190 The Oaks Blvd
Kissimmee, FL 34746-3885
Phone
(407) 518-9216
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ARNP9173620 FL Primary

Addresses

Primary practice location

2190 The Oaks Blvd
Kissimmee, FL 34746-3885

Mailing address

2190 The Oaks Blve
Kissimmee, FL 34746
Phone (407) 518-9216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000013 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234037854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Well AnesthetistsGroup PAC ID 1658816020, 6 clinicians

Practice addresses (Care Compare)

201 Maitland Ave
Suite 1017
Altamonte Springs, FL 32701-4903
Phone (407) 863-6947

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Well Anesthetists Nurse Anesthetist, Certified Registered CurrentSince May 5, 2024 Accepting new patients
Osceola Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates P.a. Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients

Locations

201 Maitland Ave
Ste 1017
Altamonte Springs, FL 32701
Phone (407) 831-4454

921 N Main St
Ste 203
Kissimmee, FL 34744
Phone (407) 361-6374

1101 N Maitland Ave
Maitland, FL 32751
Phone (407) 644-4014

Organizations & group practices 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790728756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 THE OAKS BLVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34746",
            "telephone_number": "407-518-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 THE OAKS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463885",
            "telephone_number": "407-518-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "CLEMENT",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9173620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.