Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN D MUNDY CRNA
NPI 1205882214
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Q: What is John Mundy's NPI number?

The NPI number for John Mundy is 1205882214. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is John Mundy'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 John Mundy was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 May 25, 2006

76.2/100

CMS Quality Rating

4500 SAN PABLO RD S STE 20, JACKSONVILLE, FL 32224(909) 495-3200(763) 450-3986 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Jan 5, 2021, Oct 15, 2020 and 1 more (4 updates tracked since 2019).

On this page

About John D Mundy Crna NPPES

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

JOHN D MUNDY CRNA (NPI 1205882214) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (APRN11001687) and active in the NPI registry since May 2006. He is affiliated with Mayo Clinic and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205882214

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHN D MUNDYCredential: CRNA

Location Address4500 SAN PABLO RD S STE 20Jacksonville, FL 32224

Mailing Address4500 San Pablo Rd S Ste 20Jacksonville, FL 32224-1865 · (909) 495-3200 · Fax (763) 450-3986

Phone(909) 495-3200

Fax(763) 450-3986

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 25, 2006

Last NPPES UpdateNovember 4, 20264 updates tracked since enumeration

NPPES CertifiedNovember 4, 2026

✔ NPI 1205882214 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

Licenses✔ Licensed in FL · APRN11001687✔ Licensed in MN · R146429-2

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.

4500 SAN PABLO RD S STE 20, Jacksonville, FL 32224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John D Mundy 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 ID8921082033

PECOS Enrollment IDI20191015003113

Medicare Billing Reassignments

Medicare enrollment records show John Mundy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Jacksonville

Same address

Health Service

4500 SAN PABLO RD S
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment
1,828 clinicians in this Medicare group

NPI 1174143986 (904) 953-2000

Jax Anesthesia Providers LLC

8.7 mi

Anesthesiology

4800 BELFORT RD
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
121 clinicians in this Medicare group

NPI 1245271154 (904) 483-5850

Anesthesia Dynamics LLC

202 mi

Anesthesiology

206 2ND ST E
Bradenton, FL 34208

Reassigned Medicare billing, Florida enrollment
1,887 clinicians in this Medicare group

NPI 1073001012 (888) 851-4642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 services26 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

21 services21 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

16 services16 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.33

Promoting Interoperability

100

Improvement Activities

Cost

51.32

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mundy's NPI number?

The NPI number for John Mundy is 1205882214. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is John Mundy located?

John Mundy practices at 4500 San Pablo Rd S Ste 20, Jacksonville, FL 32224. The listed phone number is (909) 495-3200.

What is John Mundy's specialty?

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

Is John Mundy enrolled in Medicare?

Yes. John Mundy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Mundy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mundy reassigns Medicare benefits to 3 organizations: Mayo Clinic Jacksonville (Jacksonville, FL), Jax Anesthesia Providers LLC (Jacksonville, FL) and Anesthesia Dynamics LLC (Bradenton, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mundy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Mundy affiliated with any hospitals?

According to CMS data, John Mundy is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for John Mundy was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.