Individual provider Active NPI

Kelly Alisa Zipko, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1003298977
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9298353 Issued in FL
Practice address
4101 Evans Ave
Fort Myers, FL 33901-9310
Phone
(239) 939-3456
Fax
(239) 790-2432
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9298353 FL Primary

Addresses

Primary practice location

4101 Evans Ave
Fort Myers, FL 33901-9310

Mailing address

PO Box 162264
Altamonte Springs, FL 32716-2264
Phone (941) 792-2020

Other practice location 1

17197 Johnston Dr
Fort Myers, FL 33967-2528
Phone (412) 260-4576

Other names 1

  • Kelly Alisa Vay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917002716 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294042529 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
FMFL Anesthesia LLCGroup PAC ID 1153752811, 15 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

6820 International Ctr Blvd
Fort Myers, FL 33912-7129
Phone (239) 210-0301

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9298353FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services Plus Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Centurian Anesthesia Management Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2022 Accepting new patients
Anesthesia & Pain Consultants of SW FL CurrentSince Sep 1, 2015 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2026 Accepting new patients
FMFL Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Oct 1, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2019 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Oct 19, 2022 Accepting new patients
Eye Associates of Manatee, LLP CurrentSince Oct 19, 2022 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4101 Evans Ave
Fort Myers, FL 33901
Phone (239) 335-1765

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300

6820 International Center Blvd
Fort Myers, FL 33912
Phone (239) 210-0301

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Interoperability endpoints

  • Direct secure messaging: kelly.zipko.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: kelly.zipkocrna.p1@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1003298977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162264",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162264",
            "telephone_number": "941-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019310",
            "telephone_number": "239-939-3456",
            "fax_number": "239-790-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17197 Johnston Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339672528",
            "country_code": "US",
            "telephone_number": "412-260-4576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIPKO",
        "first_name": "KELLY",
        "middle_name": "ALISA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9298353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "VAY",
            "middle_name": "ALISA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.