Michael R. Hernicz, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP985972 Issued in FL

Practice address

4759 Lakeview Dr
Suite 103
Sebring, FL 33870-2005

Phone

(863) 402-5600

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLC 883 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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 Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• SWF Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1588236954

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Vision Anesthesia LLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1134740319

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Quiescence Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1942671805

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Innovative Medical Staffing Solutions Inc

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1629308713

  Nurse Anesthetist, Certified Registered

  NPD
• Apollo Medical Group LLC

  • Anesthesiology Physician
  • Rockport, IN
  • NPI 1396179461

  Nurse Anesthetist, Certified Registered

  NPD
• Affiliated Tampa Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Zephyrhills, FL
  • NPI 1710681895

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Highlands Anesthesia LLC

  • Anesthesiology Physician
  • Sebring, FL
  • NPI 1386117331
  NPD (past)
• SWF Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1235827023

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Chyron LLC

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1700943826
  NPD (past)
• Covenant Anesthesia Group, PC

  • Anesthesiology Physician
  • Oak Ridge, TN
  • NPI 1639148117
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1790730943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "WINFIELD",
            "state": "TN",
            "postal_code": "378920187",
            "telephone_number": "423-569-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR",
            "address_2": "SUITE 103",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNICZ",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704104020",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "03992",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP985972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4704104020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abidan Hernandez, BA
• Juan Hernandez
• Laurie A Hernandez, RN
• Melissa Beth Hernandez, LPN
• Milay Hernandez
• John E Hess, ARNP
• Yvonne R Hess, MS, LMFT
• Tessa Lynn Hickey, R.N
• Highland ABA Therapy LLC
• Highland County Home Care LLC

• All providers in Sebring, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.