Individual provider

John Mundy, CRNA

Certified Registered Nurse Anesthetist Medicare enrolled

John Mundy, CRNA is a Certified Registered Nurse Anesthetist in Jacksonville, FL, registered under NPI 1205882214.

Getting there

The practice address on file is 4500 SAN PABLO RD S STE 20, Jacksonville, FL 32224. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4500 SAN PABLO RD S STE 20, Jacksonville, FL 32224 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN11001687 FL Certified Registered Nurse Anesthetist primary
R146429-2 MN Certified Registered Nurse Anesthetist

Licences are recorded in 2 states: FL, MN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Registered Nurse Anesthetist (crna)
PAC ID
8921082033
Enrollment ID
I20191015003113

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Minnesota. The practice address on file is in Jacksonville, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
APRN11001687
Specialty
Certified Registered Nurse Anesthetist
Verify with the FL board →
MN Minnesota
Licence
R146429-2
Specialty
Certified Registered Nurse Anesthetist
Verify with the MN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Nurse Anesthetist, Certified Registered covers

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. NUCC Health Care Provider Taxonomy, code 367500000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
367500000X Certified Registered Nurse Anesthetist APRN11001687 FL primary
367500000X Certified Registered Nurse Anesthetist R146429-2 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205882214 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 25, 2006
Last updatedJan 5, 2021
StatusActive
Sole proprietorNo
CredentialCRNA
Practice address 4500 SAN PABLO RD S STE 20
Jacksonville, FL 32224
(909) 495-3200
Fax (763) 450-3986
Other identifiers 367107100 · Medicaid (MN)
The last update on file is Jan 5, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1205882214 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 8 8 2 2 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 7 8 4 2 2

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205882214?
NPI 1205882214 is the National Provider Identifier assigned to John Mundy, CRNA in Jacksonville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Certified Registered Nurse Anesthetist cover?
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care…
How do I contact John Mundy, CRNA?
The phone number on file with NPPES is (909) 495-3200, last updated Jan 5, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Mundy, CRNA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205882214 a valid number?
Yes. 1205882214 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.