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

William Self

Individual provider Certified Registered Nurse Anesthetist · NPI 1245503093

William Self is a Certified Registered Nurse Anesthetist (CRNA) in Ormond Beach, Florida. Qualified in 2016, 10 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and ZZ.

Years since qualifying
10
Licensed in
FL, ZZ
In the registry since
2012
Specialties on file
2

Practice location Address checks out

495 S Nova Rd Ste 101A
Ormond Beach, FL 32174-8444
Phone: (386) 487-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 — (386) 254-4000
  • 495 S Nova Rd Ste 101a, Ormond Beach, FL 32174-8444 — (386) 487-4673
  • 851 Dunlawton Ave Ste 104, Port Orange, FL 32127-4234 — (386) 487-4637

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN9257951 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN9257951 (ZZ)

Record details

NPI number1245503093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2012
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020
Mailing address1329 Sw 16th St Rm 2232, Gainesville, FL 32608-1128

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ormond Beach