Individual provider Active NPI

Joan L Mooganzuckerman, CRNA

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1992709224
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9238080 Issued in FL
Practice address
4523 Merganser CT
Naples, FL 34119-7970
Phone
(267) 566-1843
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 RN203802L PA
Certified Registered Nurse Anesthetist 367500000X APRN9238080 FL Primary

Addresses

Primary practice location

4523 Merganser CT
Naples, FL 34119-7970

Mailing address

4523 Merganser CT
Naples, FL 34119-7970
Phone (267) 566-1843

Other names 1

  • Mrs. Joan Lee Moogan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040922000718 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628046117
I20140128000831 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628046117 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9238080FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Jul 13, 2020 Accepting new patients
Moonlight Anesthesia, P.L. CurrentSince Sep 1, 2019 Accepting new patients
North Naples Anesthesia, LLC CurrentSince Dec 19, 2013 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 21, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 21, 2020 Accepting new patients
Abington Surgical Center Past Accepting new patients
North Penn Anesthesiology Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Abington Surgical Center, P.C. Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

1005 Crosspointe Dr
Ste 2
Naples, FL 34110
Phone (239) 566-5748

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

1005 Crosspointe Dr
Ste 1
Naples, FL 34110

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • FHIR API: https://3bf2dd7c-9325-4617-b88b-7053e186ed5b.gastro.prod.fhir.ema-api.com/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1992709224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 MERGANSER CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197970",
            "telephone_number": "267-566-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 MERGANSER CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197970",
            "telephone_number": "267-566-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOGANZUCKERMAN",
        "first_name": "JOAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN203802L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9238080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "MOOGAN",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.