Individual provider Active NPI

Nerlande Fectiluse, CRNA

  • Registered Nurse
  • Miami, FL
National Provider Identifier
1962073403
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9296925 Issued in FL
Practice address
11200 SW 8TH St
Miami, FL 33199-2516
Phone
(305) 303-4346
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 142643 FL
Registered Nurse 163W00000X RN9296925 FL Primary

Addresses

Primary practice location

11200 SW 8TH St
Miami, FL 33199-2516

Mailing address

3601 W Commercial Blvd Ste 5
Fort Lauderdale, FL 33309-3392
Phone (954) 485-5666

Other identifiers 1

IdentifierTypeStateIssuer
142643OtherNBCRNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517001176 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719343797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
PBG Team Anesthesia PAGroup PAC ID 5092856757, 46 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (800) 694-7225

Hospital & facility affiliations

  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9296925FLMDRegistered Nurse
142643FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesco North Broward LLC CurrentSince Apr 21, 2023 Accepting new patients
PBG Team Anesthesia PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 16, 2025 Accepting new patients
Sheridan Healthcorp, Inc CurrentSince Mar 16, 2025 Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962073403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093392",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-303-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTILUSE",
        "first_name": "NERLANDE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "142643",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9296925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCRNA",
            "identifier": "142643",
            "state": null
        }
    ],
    "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 Mar 7, 2023; 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.