MR. NICHOLAS M KALYNYCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003884347

MR. NICHOLAS M KALYNYCH (CRNA) is a healthcare provider. based in Ponte vedra, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP3014012 (FL). The NPI Number for MR. NICHOLAS M KALYNYCH (CRNA) is 1003884347

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS M KALYNYCH (CRNA)
NPI
1003884347
Phone
(904) 412-2593
Address
690 MAJESTIC EAGLE DR
Enumeration Date
11 March 2006
Last Update Date
11 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048544854
Graduation Year
1993 (33 years ago)
PAC ID
0749178580
Group Practice PAC ID
3779832530
Professional Enrollment ID
I20040304001031
Address ID
FL322168713JA7051XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MR. NICHOLAS M KALYNYCH (CRNA)

  • 690 MAJESTIC EAGLE DR

    SUNBELT ANESTHESIA SERVICES, LLC

    PONTE VEDRA, FL 320810611

    Phone: (904) 412-2593

    Fax: (904) 686-1817

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304001031ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779832530View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Interventional Pain Management, AnesthesiologyMI
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY
Anesthesiology, Interventional Pain ManagementFL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What unique ID ties claims to MR. NICHOLAS M KALYNYCH (CRNA)?
NPI 1003884347 is assigned to MR. NICHOLAS M KALYNYCH (CRNA) under the national enumeration system.
Does this profile mean MR. NICHOLAS M KALYNYCH (CRNA) is currently active?
Yes — MR. NICHOLAS M KALYNYCH (CRNA) appears active in the national provider directory.
What does MR. NICHOLAS M KALYNYCH (CRNA) treat or focus on?
Patients typically see MR. NICHOLAS M KALYNYCH (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MR. NICHOLAS M KALYNYCH (CRNA)'s primary listing?
We display Ponte Vedra, Florida because that is what the record indicates for MR. NICHOLAS M KALYNYCH (CRNA).
What if Ponte Vedra, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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