Individual provider Active NPI

Michael A. Horne, CRNA

  • Certified Registered Nurse Anesthetist
  • Ponte Vedra Beach, FL
National Provider Identifier
1790753226
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9164272 Issued in FL
Practice address
352 Clearwater Dr
Ponte Vedra Beach, FL 32082-4169
Phone
(904) 403-1667
Fax
(904) 280-0051
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 ARNP9164272 FL Primary

Addresses

Primary practice location

352 Clearwater Dr
Ponte Vedra Beach, FL 32082-4169

Mailing address

352 Clearwater Dr
Ponte Vedra Beach, FL 32082-4169
Phone (904) 403-1667

Other identifiers 1

IdentifierTypeStateIssuer
304294400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040305000133 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476441189 Reassigns benefits to 4 organizations
I20060210000446 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476441189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Florida Inc 1,111 clinicians

Practice addresses (Care Compare)

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-2000

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9164272FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2015 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2015 Accepting new patients
North Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 18, 2019 Accepting new patients
Jacksonville Anesthesia Corporation Inc Past Accepting new patients
Anesthesia of Coastal Georgia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Christian L Koppel MD PA Past Accepting new patients
Florida Anesthesia Associates P a Past Accepting new patients
Southeast Anesthesia PC Past Accepting new patients
Texas Professional Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Central Florida ASC LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients
Lone Star Anesthesia Consultants PLLC Past Accepting new patients
Professional Lone Star Anesthesia Associates, P Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

875 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 676-6003

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570

777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1790753226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 CLEARWATER DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824169",
            "telephone_number": "904-403-1667",
            "fax_number": "904-280-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 CLEARWATER DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824169",
            "telephone_number": "904-403-1667",
            "fax_number": "904-280-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9164272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304294400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.