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BRANDON RUDY CRNA
NPI 1275920860
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since April 21, 2015Accepts Medicare Assignment
80.25/100
CMS Quality Rating
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7632 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brandon Rudy Crna NPPES

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

BRANDON RUDY CRNA (NPI 1275920860) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (APRN9446675) and active in the NPI registry since April 2015. He is affiliated with Hca Florida Orange Park Hospital and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275920860
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRANDON RUDYCredential: CRNA
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address2080 Child StJacksonville, FL 32214-5005
Phone(904) 542-7632
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 21, 2015
Last NPPES UpdateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1275920860 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 · APRN9446675✔ Licensed in VA · 0001213067
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.
2080 CHILD ST, Jacksonville, FL 32214
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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

Brandon Rudy 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 ID5890077960
PECOS Enrollment IDI20170125001158

Medicare Billing Reassignments

5

Medicare enrollment records show Brandon Rudy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jax Anesthesia Providers LLC
6.5 mi
Anesthesiology
4800 BELFORT RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 121 clinicians in this Medicare group
NPI 1245271154 (904) 483-5850
Fleming Island Anesthesia LLC
7.6 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
Us Anesthesia Partners Of Florida Inc.
110 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155
Anesthesia Dynamics LLC
194 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
Sunshine State Anesthesia Partners LLC
196 mi
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
NPI 1437757127 (888) 276-1910

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

Hospital Affiliations CMS Care Compare

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

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Improvement Activities40
Cost64.53

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.

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Brandon Rudy's NPI number?

The NPI number for Brandon Rudy is 1275920860. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Brandon Rudy located?

Brandon Rudy practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7632.

What is Brandon Rudy's specialty?

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

Is Brandon Rudy enrolled in Medicare?

Yes. Brandon Rudy 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 Brandon Rudy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Rudy reassigns Medicare benefits to 5 organizations: Jax Anesthesia Providers LLC (Jacksonville, FL), Fleming Island Anesthesia LLC (Orange Park, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL), Anesthesia Dynamics LLC (Bradenton, FL) and Sunshine State Anesthesia Partners 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 Brandon Rudy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brandon Rudy affiliated with any hospitals?

According to CMS data, Brandon Rudy is affiliated with Hca Florida Orange Park Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Rudy was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.