Individual provider Active NPI

Ellie Spithourakis, CRNA, ARNP

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1083846612
Registry record updated Aug 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 1905482 Issued in FL
Practice address
9530 Blue Stone Cir
Fort Myers, FL 33913-6719
Phone
(239) 267-4815
NPI assigned
Aug 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2009

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 ARNP 1905482 FL Primary

Addresses

Primary practice location

9530 Blue Stone Cir
Fort Myers, FL 33913-6719

Mailing address

9530 Blue Stone Cir
Fort Myers, FL 33913-6719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000416 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375680523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwood Anesthesia Associates LLCGroup PAC ID 8022920255, 40 clinicians
Coral Anesthesia Associates, IncGroup PAC ID 5193986131, 47 clinicians

Practice addresses (Care Compare)

1350 E Venice Ave
Venice, FL 34285-9066
Phone (954) 939-5000

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (954) 939-5000

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 1905482FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2016 Accepting new patients
Coral Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2016 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Ips of Ft Myers LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

Organizations & group practices 6

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 1

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": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250380800000",
    "number": "1083846612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 BLUE STONE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 BLUE STONE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136719",
            "telephone_number": "239-267-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITHOURAKIS",
        "first_name": "ELLIE",
        "credential": "CRNA, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2009-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 1905482",
            "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 Aug 16, 2009; 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.