RUSSELL SCOTT AVERA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730174814
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
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Provider Addresses for RUSSELL SCOTT AVERA (CRNA)
4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 32256
Phone: (904) 265-4801
Fax: (904) 265-4811
Type: Location
PO BOX 73709
NEWNAN, GA 302713709
Phone: (770) 251-2060
Fax: (678) 854-9235
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Silk Road Medical, Inc. ($28).
Total Amount
$55
General + Research + Ownership
Payments
2
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $28 |
| Teleflex LLC | $27 |
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: 2005-06-10
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 |
|---|---|---|---|---|
| I20040907000912 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20050610000061 | I | Certified Registered Nurse Anesthetist (Crna) | GA | 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 |
|---|---|---|---|---|
| 00910 | Anesthesia for other procedure on urinary system through urethra | 21 | 19 | $0 |
| 00400 | Anesthesia for other procedure on skin of arms, legs, and front body | 20 | 19 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 14 | 14 | $0 |
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| P A T H O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Internal Medicine | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine | GA |
Reviews
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