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MRS. DAWN C WELLIVER CRNA
NPI 1255390688
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since March 23, 2006
655 W 8TH ST, UFJP ANESTHESIA DEPT, JACKSONVILLE, FL 32209(904) 244-4195(904) 244-4908 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Dawn C Welliver Crna NPPES

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

MRS. DAWN C WELLIVER CRNA (NPI 1255390688) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (ARNP3346492) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1255390688
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. DAWN C WELLIVERCredential: CRNA
Location Address655 W 8TH ST, UFJP ANESTHESIA DEPTJacksonville, FL 32209-6511
Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425
Phone(904) 244-4195
Fax(904) 244-4908
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateAugust 20, 2012
✔ NPI 1255390688 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 FL · ARNP3346492
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.
655 W 8TH ST, Jacksonville, FL 32209
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Other Identifiers 4

Medicaid811797032CGA
Medicaid003120326BGA
Medicare PING2558XFL
Medicaid3061990-00FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dawn C Welliver Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

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

Fleming Island Anesthesia LLC
17 mi
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
NPI 1487945895 (904) 644-0700
Sunbelt Anesthesia Services, LLC
23 mi
Anesthesiology
690 MAJESTIC EAGLE DR
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 115 clinicians in this Medicare group
NPI 1205172079 (904) 412-2593
Anesthesia Dynamics LLC
204 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.

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.

DR. MATTHEW DUWAIN WARRICK M.D.
Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-4195
DR. MARYAM OOJA ABUBAKAR MD, MPH
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3508
CHRISTOPHER FULLER PT, DPT
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
WILLIAM RENFRO PHARM. D.
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2179
CAM-TU NGUYEN PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (352) 682-4355
LOGAN SMITH PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (478) 387-5570
HANNAH BISOGLIO
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
DR. CARMELA MONTEIRO MD
Pathology (Anatomic Pathology)
655 W 8TH ST, UFJP PATHOLOGY DEPT
JACKSONVILLE, FL 32209
Duval County (904) 244-4699

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 Dawn Welliver's NPI number?

The NPI number for Dawn Welliver is 1255390688. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Dawn Welliver located?

Dawn Welliver practices at 655 W 8th St Ufjp Anesthesia Dept, Jacksonville, FL 32209. The listed phone number is (904) 244-4195.

What is Dawn Welliver's specialty?

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

Is Dawn Welliver enrolled in Medicare?

Yes. Dawn Welliver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dawn Welliver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Welliver reassigns Medicare benefits to 3 organizations: Fleming Island Anesthesia LLC (Orange Park, FL), Sunbelt Anesthesia Services, LLC (Ponte Vedra, 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 Dawn Welliver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dawn Welliver was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.