Individual provider Active NPI

Phillip Adam Norris, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Kissimmee, FL
National Provider Identifier
1902445984
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7778 Issued in NC
Practice address
700 W Oak St
Kissimmee, FL 34741-4924
Phone
(407) 518-3553
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11005440 FL
Certified Registered Nurse Anesthetist 367500000X 7778 NC Primary

Addresses

Primary practice location

700 W Oak St
Kissimmee, FL 34741-4924

Mailing address

9825 Gate Pkwy N Apt 1310
Jacksonville, FL 32246-9244
Phone (386) 972-6989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200227000640 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991132128 Reassigns benefits to 3 organizations
I20240404002215 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991132128 Reassigns benefits to 1 organization
I20250716000691 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991132128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince May 10, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Feb 3, 2020 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2020 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince May 10, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2024 Accepting new patients

Locations

180 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 322-7841

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 10

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.

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1902445984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 GATE PKWY N APT 1310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469244",
            "telephone_number": "386-972-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "407-518-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "PHILLIP",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11005440",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.