Individual provider Active NPI

Mark Vandenlangenberg

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1053177980
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN9518331 Issued in FL
Practice address
300 Pinellas St
Clearwater, FL 33756-3892
Phone
(727) 462-7000
NPI assigned
Feb 27, 2024
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11032667 FL
Certified Registered Nurse Anesthetist 367500000X RN9518331 FL Primary

Addresses

Primary practice location

300 Pinellas St
Clearwater, FL 33756-3892

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Other practice location 1

10735 Village Club Cir N Apt 201
Saint Petersburg, FL 33716-3040
Phone (318) 245-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240605003652 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466994470 Reassigns benefits to 2 organizations
I20250820002476 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466994470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

636 Del Prado Blvd
Cape Coral, FL 33990-2695
Phone (239) 424-2000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (394) 337-7992

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11032667FLMDCertified Registered Nurse Anesthetist
RN9518331FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 31, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 31, 2025 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

489 State St
Bangor, ME 04401
Phone (207) 973-8837

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1053177980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563892",
            "telephone_number": "727-462-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10735 Village Club Cir N Apt 201",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337163040",
            "country_code": "US",
            "telephone_number": "318-245-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENLANGENBERG",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11032667",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9518331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.