Individual provider Active NPI

Mayuko Nakanishi

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1790956340
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9170471 Issued in FL
Practice address
8500 SW 109TH Ave
#226
Miami, FL 33173-4455
Phone
(305) 412-2386
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9170471 FL
Certified Registered Nurse Anesthetist 367500000X ARNP9170471 FL Primary

Addresses

Primary practice location

8500 SW 109TH Ave
#226
Miami, FL 33173-4455

Mailing address

7490 SW 86TH Way
Gainesville, FL 32608-8432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081218000304 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941362313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ocala LLCGroup PAC ID 1254657349, 13 clinicians

Practice addresses (Care Compare)

1160 SE 18TH PL
Ocala, FL 34471-5422
Phone (352) 732-8905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9170471FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2012 Accepting new patients
Anesthesia Associates of Ocala, LLC CurrentSince Apr 21, 2018 Accepting new patients
Miami Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

1160 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

17355 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 245-0846

Organizations & group practices 3

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1790956340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SW 86TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 SW 109TH AVE",
            "address_2": "#226",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734455",
            "telephone_number": "305-412-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKANISHI",
        "first_name": "MAYUKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9170471",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9170471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.