BENJAMIN PEREZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1477752582

BENJAMIN PEREZ (CRNA) is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9195596 (FL). The NPI Number for BENJAMIN PEREZ (CRNA) is 1477752582

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN PEREZ (CRNA)
NPI
1477752582
Phone
(904) 244-3199
Address
PO BOX 44008
Enumeration Date
18 July 2007
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278936182
Graduation Year
2006 (20 years ago)
PAC ID
3678669884
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20071019000112
Address ID
FL337014814ST701XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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

Provider Addresses for BENJAMIN PEREZ (CRNA)

  • PO BOX 44008

    UFJP - PROVIDER ENROLLMENT

    JACKSONVILLE, FL 322314008

    Phone: (904) 244-3199

    Fax: (904) 244-3425

    Type: Mailing

  • 701 6TH ST S

    SAINT PETERSBURG, FL 337014814

    Phone: (321) 841-2335

    Type: Mailing

  • 701 6th St S

    St Petersburg, FL 337014814

    Phone: (727) 823-6297

    Fax: (727) 823-9502

    Type: Location

  • Bayfront Health Saint Petersburg, 701, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    SAINT PETERSBURG, FL 337014814

    Phone: (321) 841-2335

    Type: Location

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: 2007-10-19

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
I20071019000112ICertified 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 32231)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

Is BENJAMIN PEREZ (CRNA) listed with a National Provider Identifier?
Yes — BENJAMIN PEREZ (CRNA) has NPI 1477752582 on file in the registry.
Is there an active status for BENJAMIN PEREZ (CRNA)?
For scheduling context, BENJAMIN PEREZ (CRNA) is shown as active in the registry.
How would a patient describe BENJAMIN PEREZ (CRNA)'s focus?
For BENJAMIN PEREZ (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Florida is BENJAMIN PEREZ (CRNA) registered?
Use Jacksonville, Florida as the headline location for BENJAMIN PEREZ (CRNA) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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