Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonio Samuel Gervais, CRNA, RN

Individual provider Registered Nurse · NPI 1912510165

Antonio Samuel Gervais, CRNA, RN is a Certified Registered Nurse Anesthetist (CRNA) in Santa Fe, New Mexico. Qualified in 2018, 8 years ago. Practices with Youngs Professional Services LLC, a 294-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone: (505) 913-3043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 134946 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 310047 (NC)

Record details

NPI number1912510165
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA , RN
Sole proprietorNo
NPI enumeratedAugust 27, 2020
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Youngs Professional Services Llc — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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