Dennis Matthew Dolan, CRNA, APRN, PMHNP-S

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9493678 Issued in FL

Practice address

4625 E Bay Dr Ste 103
Clearwater, FL 33764-6866

Phone

(888) 214-2144

Fax

(866) 693-2298

NPI assigned

Dec 6, 2006

Last updated

May 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Cincinnati College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RevitalistGroup PAC ID 6800295650, 3 clinicians

Valor Health SolutionsGroup PAC ID 3375036924, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Valor Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Haven, FL
  • NPI 1902778079

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Revitalist

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1073168241

  FL

  Medicare reassignment Care Compare group
• Bluegrass Anesthesia Services, PSC

  • Anesthesiology Physician
  • Frankfort, KY
  • NPI 1548355100
  NPD (past)
• Central Kentucky Anesthesia PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1518083161
  NPD (past)
• Rvlwf Michigan PLLC

  • Multi-Specialty Clinic/Center
  • Novi, MI
  • NPI 1891453684
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1083773311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MANDOLIN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843581",
            "telephone_number": "888-214-2144",
            "fax_number": "866-693-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BAY DR STE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646866",
            "telephone_number": "888-214-2144",
            "fax_number": "866-693-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "DENNIS",
        "middle_name": "MATTHEW",
        "credential": "CRNA, APRN, PMHNP-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9493678",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9493678",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "APRN9493678",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3732A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.