MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) – Anesthesiologist Assistant, NPI 1447124573

MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) is a healthcare provider. based in Palm beach gardens, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. AA1163 (FL). The NPI Number for MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) is 1447124573

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN VERMONT JR. SHORTRIDGE (CAA)
NPI
1447124573
Phone
Not provided
Address
3360 BURNS RD
Enumeration Date
1 October 2025
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006947225
Graduation Year
2025 (1 year ago)
PAC ID
9739676198
Group Practice PAC ID
5092856757
Professional Enrollment ID
I20251017002525
Address ID
FL334104323PA3360XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for MR. NATHAN VERMONT JR. SHORTRIDGE (CAA)

  • 3360 BURNS RD

    PALM BEACH GARDENS, FL 334104323

    Phone:

    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: 2025-10-17

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
I20251017002525IAnesthesiology AssistantFLTBD

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 33410)

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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: 5092856757View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

How is MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) identified in CMS data?
CMS-hosted NPPES data lists MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) with NPI 1447124573.
Is MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) still practicing?
MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) is currently listed as active in the public NPI registry.
What is MR. NATHAN VERMONT JR. SHORTRIDGE (CAA)'s primary classification?
Anesthesiologist Assistant is the headline specialty for MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) on a map?
Expect Palm Beach Gardens, Florida as a primary anchor for MR. NATHAN VERMONT JR. SHORTRIDGE (CAA) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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