DERECK PETTIFORD CRNA NPI 1972677367

NPI Information

  • NPI: 1972677367
  • Provider Name: DERECK PETTIFORD, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 3330 SW 33RD RD
    OCALA, FL
    ZIP 34474
  • Phone: (352) 873-9311

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NPI Details

Dereck Pettiford, CRNA is a nurse anesthetist certified registered in Ocala, FL with 23 years of experience. The provider is (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. Dereck Pettiford, CRNA NPI is 1972677367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3330 SW 33RD RD
OCALA, FL
ZIP 34474-458
Phone: (352) 873-9311

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for other procedure on urinary system through urethra (HCPCS:00910)
  • Anesthesia for x-ray on heart vessels and chambers (HCPCS:01920)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for removal of urinary bladder tumors including use of an endoscope (HCPCS:00912)
  • Anesthesia for x-ray on artery of neck or heart (HCPCS:01925)
  • Anesthesia for procedure on anus and rectum (HCPCS:00902)
  • Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope (HCPCS:00918)
  • Anesthesia for removal of prostate including use of an endoscope (HCPCS:00914)
  • Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance (HCPCS:01942)
  • Anesthesia for other procedure on male genitals (HCPCS:00920)
  • Anesthesia for exam of colon using an endoscope (HCPCS:00812)
  • Anesthesia for other procedure on skin of arms, legs, and front body (HCPCS:00400)
  • Anesthesia for insertion of permanent heart pacemaker (HCPCS:00530)

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered3280462FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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