Individual provider Active NPI

Nicholas Mark Rodgers, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1114366895
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9282943 Issued in FL
Practice address
701 6TH St S
St Petersburg, FL 33701-4814
Phone
(727) 823-2188
Fax
(727) 828-0723
NPI assigned
Jun 17, 2013
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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 9282943 FL Primary

Addresses

Primary practice location

701 6TH St S
St Petersburg, FL 33701-4814

Mailing address

12225 28TH St N
Suite a
St Petersburg, FL 33716-1860
Phone (727) 823-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130718000344 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163663071 Reassigns benefits to 7 organizations
I20180305000810 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163663071 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Anesthesia Services PCGroup PAC ID 7517947146, 112 clinicians
Hospitalist Medicine Physicians of Colorado - Denver PCGroup PAC ID 3577073402, 90 clinicians
Anesthesia Partners of ColoradoGroup PAC ID 0345520151, 99 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Aspen Anesthesia, IncGroup PAC ID 7113065970, 13 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500

1375 E 19TH Ave
Saint Joseph Hospital
Denver, CO 80218-1114
Phone (303) 812-6400

320 Beard Creek Rd
Edwards, CO 81632-6433
Phone (970) 569-7400

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 925-1120

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9282943FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Anesthesia Associates LLC CurrentSince Sep 17, 2017 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2019 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Partners of Colorado CurrentSince Dec 8, 2025 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Colorado - Denver PC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Brevard Physician Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2019 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2019 Accepting new patients
Aspen Anesthesia, Inc CurrentSince Jan 17, 2025 Accepting new patients
Feinerman Anesthesia PA CurrentSince Jan 21, 2017 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2017 Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients

Locations (25 of 26)

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1919 E 18th Ave
Denver, CO 80206
Phone (303) 322-3993

320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

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

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

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

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

5771 49th St N
St Petersburg, FL 33709
Phone (727) 443-4299

5771 49th St N
Ste 157
St Petersburg, FL 33709

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1114366895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 28TH ST N",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161860",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "NICHOLAS",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9282943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.