JOHN TRAN LY CRNA
NPI 1811601271
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Q: What is John Ly's NPI number?

The NPI number for John Ly is 1811601271. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Q: What is John Ly'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 Ly was last updated on January 10, 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.

Active since January 10, 2023Accepts Medicare Assignment

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-5029 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About John Tran Ly Crna NPPES

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

JOHN TRAN LY CRNA (NPI 1811601271) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (11023893) and active in the NPI registry since January 2023. He is affiliated with Shands Jacksonville and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811601271

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHN TRAN LYCredential: CRNA

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address96091 Roxabogue DrFernandina Beach, FL 32034-8141 · (904) 415-1383

Phone(904) 244-5029

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 10, 2023

NPPES CertifiedJanuary 10, 2023

✔ NPI 1811601271 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 · 11023893

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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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 Tran Ly 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 ID7315310224

PECOS Enrollment IDI20230223001856

Medicare Billing Reassignments

Medicare enrollment records show John Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians Inc

Same address

Diagnostic Radiology

655 W 8TH ST, UFJP RADIOLOGY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1326208695 (904) 244-3660

Quiescence Anesthesia LLC

207 mi

Nurse Anesthetist, Certified Registered

577 MULBERRY ST STE 110
Macon, GA 31201

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

NPI 1942671805 (888) 728-0882

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.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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.

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