Active NPI
Shaun Matthew Rudi, CRNA
- Certified Registered Nurse Anesthetist
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9446750
- Practice address
- 1961 Zientara Loop
The Villages, FL 32163-5342 - Phone
- (803) 530-5466
- NPI assigned
- Oct 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN0000031578 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9446750 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 18843 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2324800 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 201365 | SC |
Addresses
Primary practice location
1961 Zientara Loop
The Villages, FL 32163-5342
Mailing address
1961 Zientara Loop
The Villages, FL 32163-5342
Phone (803) 530-5466
Other practice location 1
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL, MA, IL, GA, TN
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4100
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (678) 514-1991
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-6000
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000031578 | TN | MD | Certified Registered Nurse Anesthetist |
| 201365 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| North American Partners in Anesthesia Massachusetts LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Covenant Anesthesia Group, PC | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
75 Francis St
Boston, MA 02115
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Networks
- Freedom Health HMO Network
Organizations & group practices 16
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.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
dba MMC Anesthesia Group, PC
- Anesthesiology Physician
- Oak Ridge, TN
- NPI 1639148117
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1457867020
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1821426081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 ZIENTARA LOOP",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321635342",
"telephone_number": "803-530-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 ZIENTARA LOOP",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321635342",
"telephone_number": "803-530-5466"
}
],
"practiceLocations": [
{
"address_1": "11705 Mercy Blvd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314191711",
"country_code": "US",
"telephone_number": "912-819-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDI",
"first_name": "SHAUN",
"middle_name": "MATTHEW",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-28",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000031578",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9446750",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "18843",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2324800",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "201365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
- Susan M Roy, LCSW
- Royal Palm Beach Rehab Corp (Action Physical Therapy)
- Royal Palm Beach Rehab Corp (Action Physical Therapy)
- Rozensky Ilkka and Associates PA (Southern Trace Dental)
- Richard W Rozensky, DDS
- Phillip Paul Ruppert, PSYD
- Tara Piner Rushing, APRN
- Amanda Kathleen Russ, DNP, APRN
- James Russell, O.D.
- Daniel Ryan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.