Individual provider Active NPI

Beverly June Fuller, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
National Provider Identifier
1851364590
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 999812 Issued in FL
Practice address
1160 SE 18TH PL
Ocala Endoscopy Center
Ocala, FL 32071
Phone
(352) 732-8905
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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 ARNP 999812 FL Primary

Addresses

Primary practice location

1160 SE 18TH PL
Ocala Endoscopy Center
Ocala, FL 32071

Mailing address

2506 264TH St
O Brien, FL 32071
Phone (386) 935-4262

Other identifiers 1

IdentifierTypeStateIssuer
034147900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000976 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941107692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ocala LLCGroup PAC ID 1254657349, 13 clinicians
Ocala Eye Surgery Center IncGroup PAC ID 3072591940, 10 clinicians

Practice addresses (Care Compare)

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

3330 SW 33Rd Rd
Ocala, FL 34474-7458
Phone (352) 873-9311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22071FLMDPhysical Therapy Assistant
ARNP 999812FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Ocala, LLC CurrentSince Feb 28, 2015 Accepting new patients
Ocala Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2003 Accepting new patients
Ocala Eye Surgery Center Inc CurrentSince Oct 1, 2019 Accepting new patients
Ocala Eye Surgery Center Inc Current Accepting new patients
Ocala Eye Surgery Center Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Sacher Anesthesia and Pain Management Inc Past Accepting new patients
Ocala Surgical Center Anesthesia Inc Past Accepting new patients
Michael E Donohoe Crna Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Health Care Partners of Florida Inc 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

3330 SW 33rd Rd
Ocala, FL 34474
Phone (352) 873-9311

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

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

Interoperability endpoints

  • Direct secure messaging: beverly.fullercrna.p2@direct.ocalaeye.nextgenshare.com

Organizations & group practices 9

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1851364590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 264TH ST",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "32071",
            "telephone_number": "386-935-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SE 18TH PL",
            "address_2": "OCALA ENDOSCOPY CENTER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "32071",
            "telephone_number": "352-732-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BEVERLY",
        "middle_name": "JUNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 999812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034147900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.