MR. JAMES DAVID FOUNTAIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760559314

MR. JAMES DAVID FOUNTAIN (CRNA) is a healthcare provider. based in Fleming island, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP3245982 (FL). The NPI Number for MR. JAMES DAVID FOUNTAIN (CRNA) is 1760559314

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES DAVID FOUNTAIN (CRNA)
NPI
1760559314
Phone
Not provided
Address
1665D VINELAND CIR
Enumeration Date
29 November 2006
Last Update Date
13 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062168000
Graduation Year
2007 (19 years ago)
PAC ID
7911060272
Group Practice PAC ID
5890602494
Professional Enrollment ID
I20170220002863
Address ID
MT594055240GR3010XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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

Provider Addresses for MR. JAMES DAVID FOUNTAIN (CRNA)

  • 1665D VINELAND CIR

    FLEMING ISLAND, FL 320033395

    Phone:

    Type: Mailing

  • 3827 S SWEET ESCAPE DR

    WASHINGTON, UT 847803003

    Phone:

    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 $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-08-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($282).

Total Amount

$282

General + Research + Ownership

Payments

2

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$282
View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20090113000184ICertified Registered Nurse Anesthetist (Crna)NCTBD
I20090601000103ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20170220002863ICertified Registered Nurse Anesthetist (Crna)MTTBD
I20180523001244ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20180806000992ICertified Registered Nurse Anesthetist (Crna)UTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery130123$0
00145Anesthesia for retinal surgery8073$0
00103Anesthesia for procedure on eyelid3030$0
00140Anesthesia for other procedure on eye1616$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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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: 5890602494View full group profile
NameSpecialtyState
-ID
Family PracticeMT
Critical Care (Intensivists), Hospitalist, Internal Medicine, Critical Care (Intensivists), Internal MedicineVA
Nurse PractitionerMT
Family Practice, Emergency MedicineMT
Internal Medicine, Hospitalist, Internal MedicineCO
Certified Registered Nurse Anesthetist (Crna)AZ
-MT
Internal Medicine, HospitalistMT
Diagnostic Radiology, Interventional RadiologyND

Reviews

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Frequently asked questions

Is MR. JAMES DAVID FOUNTAIN (CRNA) listed with a National Provider Identifier?
Yes — MR. JAMES DAVID FOUNTAIN (CRNA) has NPI 1760559314 on file in the registry.
Active or inactive — what applies to MR. JAMES DAVID FOUNTAIN (CRNA)?
You should see MR. JAMES DAVID FOUNTAIN (CRNA) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. JAMES DAVID FOUNTAIN (CRNA)?
MR. JAMES DAVID FOUNTAIN (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JAMES DAVID FOUNTAIN (CRNA)?
Travel planning: use Fleming Island, Florida as the reference point for MR. JAMES DAVID FOUNTAIN (CRNA), then confirm.
Does MR. JAMES DAVID FOUNTAIN (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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