WILLIAM SELF – Certified Registered Nurse Anesthetist, NPI 1245503093
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for WILLIAM SELF
851 Dunlawton Ave Ste 104
Port Orange, FL 321274234
Phone: (386) 487-4637
Fax: (855) 829-5770
Type: Location
495 S Nova Rd Ste 101A
Ormond Beach, FL 321748444
Phone: (386) 487-4673
Type: Location
303 N Clyde Morris Blvd
Daytona Beach, FL 321142709
Phone: (386) 254-4000
Type: Location
30 CHOCTAW TRL
ORMOND BEACH, FL 321744347
Phone: (386) 487-4673
Type: Mailing
495 S NOVA RD STE 101A
ORMOND BEACH, FL 321748444
Phone: (386) 487-4673
Type: Location
1329 SW 16TH ST RM 2232
GAINESVILLE, FL 326081128
Phone: (352) 733-0485
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($121).
Total Amount
$146
General + Research + Ownership
Payments
7
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $121 |
| ABBVIE INC. | $24 |
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: 2025-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120409000458 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20250221002195 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 17 | 17 | $0 |
Insurance plans in this area (ZIP 32127)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.