Individual provider Active NPI

Edson Pereira Alonso Jr.

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1982144721
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 9388679 Issued in FL
Practice address
7009 Romana Way Apt 1603
Naples, FL 34119-9637
Phone
(801) 762-7291
NPI assigned
Feb 27, 2017
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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 RN 9388679 FL Primary

Addresses

Primary practice location

7009 Romana Way Apt 1603
Naples, FL 34119-9637

Mailing address

7009 Romana Way Apt 1603
Naples, FL 34119-9637
Phone (801) 762-7291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180115000823 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052670213 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia Associates, LLCGroup PAC ID 2062498140, 10 clinicians
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9388679FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 3, 2019 Accepting new patients
Johnson Memorial Hospital CurrentSince Oct 6, 2020 Accepting new patients
Johnson Memorial Hospital CurrentSince Oct 6, 2020 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1982144721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 ROMANA WAY APT 1603",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199637",
            "telephone_number": "801-762-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 ROMANA WAY APT 1603",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199637",
            "telephone_number": "801-762-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "EDSON",
        "middle_name": "PEREIRA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN 9388679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.