Individual provider Active NPI

Gina T Willaford, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1073804365
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9219668 Issued in FL
Practice address
4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322
Phone
(239) 332-5344
Fax
(239) 332-7246
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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 9219668 FL Primary

Addresses

Primary practice location

4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322

Mailing address

4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322
Phone (239) 332-5344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000837 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274707112 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
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
Athena Anesthesia LLCGroup PAC ID 3072963859, 3 clinicians

Practice addresses (Care Compare)

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

333 Tamiami TRL S
Suite 169 171
Venice, FL 34285-2402
Phone (941) 539-7919

6241 Arc Way
Suite B
Fort Myers, FL 33966-1421
Phone (239) 278-9955

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 25, 2015 Accepting new patients
Spartan Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Cape Coral Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2024 Accepting new patients
Athena Anesthesia LLC CurrentSince Mar 11, 2024 Accepting new patients
West Florida Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
Anesthesia Services Plus Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 19, 2025 Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2721 Del Prado Blvd S
Ste 100
Cape Coral, FL 33904
Phone (239) 242-8010

625 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-3323

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

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

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

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

3621 E Forest Dr
Inverness, FL 34453
Phone (352) 563-2450

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

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

600 N Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 234-0498

3333 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 376-4546

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

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13915/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1073804365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "STE 303",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019322",
            "telephone_number": "239-332-5344",
            "fax_number": "239-332-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE",
            "address_2": "STE 303",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019322",
            "telephone_number": "239-332-5344",
            "fax_number": "239-332-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLAFORD",
        "first_name": "GINA",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9219668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 2011; 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.