PAUL DEREK STREET CRNA
NPI 1003136862
Nurse Anesthetist, Certified Registered in Greenville, SC

Q: What is Paul Street's NPI number?

The NPI number for Paul Street is 1003136862. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Q: What is Paul Street's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Street was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2010Accepts Medicare Assignment

7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615(864) 522-3700(864) 522-3705 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Paul Derek Street Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL DEREK STREET CRNA (NPI 1003136862) is an individual nurse anesthetist, certified registered in Greenville, South Carolina, licensed in South Carolina (APRN4210) and active in the NPI registry since June 2010. He is affiliated with Hca Florida Gulf Coast Hospital, maintains a secondary practice location in Columbia, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1003136862

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NamePAUL DEREK STREETCredential: CRNA

Location Address7 INDEPENDENCE PT STE 300Greenville, SC 29615-4569

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 522-3700

Fax(864) 522-3705

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 3, 2010

Last NPPES UpdateJanuary 28, 2022

NPPES CertifiedJanuary 28, 2022

✔ NPI 1003136862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in SC · APRN4210

Definition

(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.

7 INDEPENDENCE PT STE 300, Greenville, SC 29615

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Secondary Practice Location 1

Location 15 Richland Medical Park DrColumbia, SC 29203-6863 · Phone (803) 434-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Derek Street Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204028681

PECOS Enrollment IDI20231228003850

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

26 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ANN ALGUIRE

Nurse Anesthetist, Certified Registered