Individual provider Active NPI

Charlene Althea Buchanan, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1104877430
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1896672 Issued in FL
Practice address
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Phone
(813) 844-4396
Fax
(813) 844-4972
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1896672 FL Primary
Certified Registered Nurse Anesthetist 367500000X 5227A KY
Certified Registered Nurse Anesthetist 367500000X 795745-01 NY
Registered Nurse 163W00000X 28162578A IN

Addresses

Primary practice location

2 Columbia Dr
Suite A327
Tampa, FL 33606-3508

Mailing address

2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Phone (813) 844-4396

Other practice location 1

2568 Walden Ave
Cheektowaga, NY 14225-4760
Phone (716) 984-9924

Other identifiers 8

IdentifierTypeStateIssuer
G3099ZOtherFLMEDICARE GTBA REASSIGN
223090AOtherINMEDICARE FGTBA REASSIGN
304720200MedicaidFL
G3099OtherFLBCBS
300807000OtherFLDOL ACS (FECA)
7861915OtherFLAETNA GTBA
200808270MedicaidIN
360880OtherINANTHEM/BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050210000786 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315999059 Reassigns benefits to 1 organization
I20081230000058 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315999059 Reassigns benefits to 5 organizations
I20210601000171 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315999059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
Maple Gate Anesthesiologists, P.C.Group PAC ID 8022913839, 113 clinicians

Practice addresses (Care Compare)

2901 B Swann Ave
Tampa, FL 33609-4056
Phone (813) 873-6400

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 632-1088

Hospital & facility affiliations

  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1896672FLMDCertified Registered Nurse Anesthetist
5227AKYMDCertified Registered Nurse Anesthetist
795745-01NYMDCertified Registered Nurse Anesthetist

Practice roles (13 of 15)

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Mar 1, 2021 Accepting new patients
Deaconess Hospital Inc CurrentSince Jun 22, 2020 Accepting new patients
Maple Gate Anesthesiologists, P.C. CurrentSince Jun 1, 2021 Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 8, 2024 Accepting new patients
FDHS Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2020 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2024 Accepting new patients
Advanced Anesthesia Associates LLC Past Accepting new patients
Michigan Gulf to Bay Anesthesiology Associates PSC Past Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Past Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered PastSince Apr 6, 2023 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

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

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

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

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

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

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

7300 Bryan Dairy Rd
Ste 495
Seminole, FL 33777
Phone (727) 451-6780

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2568 Walden Ave
Ste 103
Cheektowaga, NY 14225

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

30 S Cayuga Rd
Williamsville, NY 14221

215 Klein Rd
Williamsville, NY 14221
Phone (716) 568-6100

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 11

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1104877430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2568 Walden Ave",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142254760",
            "country_code": "US",
            "telephone_number": "716-984-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "CHARLENE",
        "middle_name": "ALTHEA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1896672",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "5227A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "795745-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28162578A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GTBA REASSIGN",
            "identifier": "G3099Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FGTBA REASSIGN",
            "identifier": "223090A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304720200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3099",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL ACS (FECA)",
            "identifier": "300807000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GTBA",
            "identifier": "7861915",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200808270",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "360880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.