Port St Lucie Anesthesia LLC
NPI 1215441134 · Certified Registered Nurse Anesthetist · Port St Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port St Lucie Anesthesia LLC is a Certified Registered Nurse Anesthetist organization in Port St Lucie, FL (NPI 1215441134).
Provider details
- NPI number
- 1215441134
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jean Kochendorfer, Sr Director of Rcm Transformation(615) 240-3795
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Frequently asked questions
- What is Port St Lucie Anesthesia LLC's NPI number?
- Port St Lucie Anesthesia LLC's National Provider Identifier (NPI) is 1215441134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port St Lucie Anesthesia LLC?
- Port St Lucie Anesthesia LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Port St Lucie Anesthesia LLC located?
- Port St Lucie Anesthesia LLC's practice location on file with NPPES is 1715 Se Tiffany Ave, Port St Lucie, FL 34952-7511.
- What is Port St Lucie Anesthesia LLC's phone number?
- The practice phone number listed in the NPPES registry for Port St Lucie Anesthesia LLC is (772) 335-7005.
- Does Port St Lucie Anesthesia LLC accept Medicare?
- Port St Lucie Anesthesia LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port St Lucie Anesthesia LLC?
- The authorized official listed on Port St Lucie Anesthesia LLC's NPPES record is Jean Kochendorfer, Sr Director of Rcm Transformation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port St Lucie Anesthesia LLC's NPI active?
- Yes — Port St Lucie Anesthesia LLC's NPI (1215441134) is active in the NPPES registry as of the last update on 2023-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.