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GERALD DERISE CRNA
NPI 1720025935
Nurse Anesthetist, Certified Registered in Winter Haven, FL

Active since May 31, 2006
325 AVENUE B NW, WINTER HAVEN, FL 33881(863) 291-4000 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gerald Derise Crna NPPES

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

GERALD DERISE CRNA (NPI 1720025935) is an individual nurse anesthetist, certified registered in Winter Haven, Florida, licensed in Florida (573282) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1720025935
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGERALD DERISECredential: CRNA
Location Address325 AVENUE B NWWinter Haven, FL 33881-4651
Mailing AddressPo Box 917110Orlando, FL 32891-7110 · (800) 901-2102 · Fax (423) 892-5838
Phone(863) 291-4000
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateMay 24, 2010
✔ NPI 1720025935 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 · 573282
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.
325 AVENUE B NW, Winter Haven, FL 33881
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Other Identifiers 4

Medicare PING0579WFL
OtherG0579FL · Blue Cross Blue Shield Fl
Medicaid306429800FL
OtherP00274577FL · Railroad Medicare

Other Providers at the Same Location NPPES 4

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

MARVA LOUISVILLE CRNA
Nurse Anesthetist, Certified Registered
325 AVENUE B NW
WINTER HAVEN, FL 33881
Polk County (863) 291-4000
ANESTHESIA DYNAMICS LLC
Anesthesiology
325 AVENUE B NW
WINTER HAVEN, FL 33881
Polk County (240) 469-2181
BARBARA J ANDERSON CRNA
Nurse Anesthetist, Certified Registered
325 AVENUE B NW
WINTER HAVEN, FL 33881
Polk County (863) 291-4000
DR. HOWARD J ROSENZWEIG MD
Anesthesiology
325 AVENUE B NW
WINTER HAVEN, FL 33881
Polk County (863) 291-4000

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 Gerald Derise's NPI number?

The NPI number for Gerald Derise is 1720025935. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Gerald Derise located?

Gerald Derise practices at 325 Avenue B NW, Winter Haven, FL 33881. The listed phone number is (863) 291-4000.

What is Gerald Derise's specialty?

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

When was this NPI record last updated?

The NPPES record for Gerald Derise was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.