Active NPI
Nicholas Michael Angelis, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9271609
- Practice address
- 4901 Grande Dr
Pensacola, FL 32504-5935 - Phone
- (850) 477-7042
- Fax
- (850) 474-9060
- NPI assigned
- Sep 20, 2010
- Last updated
- Nov 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9271609 | FL | Primary |
Addresses
Primary practice location
4901 Grande Dr
Pensacola, FL 32504-5935
Mailing address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone (850) 477-7042
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00JE | Other | FL | BLUE CROSS BLUE SHIELD |
| 002764500 | Medicaid | FL | |
| 122741 | Medicaid | AL | |
| 592-12787 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (954) 939-5000
9225 E Market St
Warren, OH 44484-5517
Phone 33037274702112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Associates of Pensacola PA | Current | Accepting new patients | |
| Lake Erie Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesia Highlands Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| BMR Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trans-Ohio Anesthesia, LLC | Current | Accepting new patients | |
| Gastroenterology Associates of Pensacola PA | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients | |
| Ascend Health Center, LLC | Current | Accepting new patients |
Locations
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191
1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223
4828 N Davis Hwy
Pensacola, FL 32503
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
400 10th St E
Waconia, MN 55387
8185 Washington St
Ste 6
Chagrin Falls, OH 44023
Phone (440) 708-0582
75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050
9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050
1000 S Cleveland Massillon Rd
Ste 1
Fairlawn, OH 44333
Phone (330) 754-4844
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
1611 S Green Rd
Ste 120
South Euclid, OH 44121
Phone (440) 708-0582
9225 E Market St
Warren, OH 44484
Phone (330) 372-7470
Interoperability endpoints
- https://api.platform.athenahealth.com/21561/brand/1/csg/1/fhir/r4
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
- Psychiatry Physician
- Fairlawn, OH
- NPI 1912470303
-
- Anesthesiology Physician
- Warren, OH
- NPI 1871866137
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, OH
-
- Certified Registered Nurse Anesthetist
- Pensacola, FL
- NPI 1619444502
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Pensacola, FL
- NPI 1235223785
-
- Certified Registered Nurse Anesthetist
- Chagrin Falls, OH
- NPI 1265927594
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hillsboro, OH
- NPI 1508113903
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1629448071
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
-
- Gastroenterology Physician
- Pensacola, FL
- NPI 1891768123
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Osceola Hospital
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1871801225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELIS",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9271609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G00JE",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002764500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122741",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "592-12787",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.