Individual provider Active NPI

Agnieszka M Wein, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1164741195
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9224296 Issued in FL
Practice address
4809 N Armenia Ave
Tampa, FL 33603-1447
Phone
(813) 658-5037
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 ARNP9224296 FL Primary

Addresses

Primary practice location

4809 N Armenia Ave
Tampa, FL 33603-1447

Mailing address

12926 Castlemaine Dr
Tampa, FL 33626-4470
Phone (727) 946-0111

Other names 1

  • Agnieszka A Mulawa, Sugg Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012001195 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810189628 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Tampa Bay Anesthesia LLC CurrentSince Apr 21, 2014 Accepting new patients
Florida Medical Clinic LLC CurrentSince Sep 7, 2016 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Sep 7, 2016 Accepting new patients

Locations

4809 N Armenia Ave
Ste 100
Tampa, FL 33603
Phone (813) 872-9310

14547 Bruce B Downs Blvd
Ste B
Tampa, FL 33613
Phone (813) 280-7676

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

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1164741195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12926 CASTLEMAINE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264470",
            "telephone_number": "727-946-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031447",
            "telephone_number": "813-658-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIN",
        "first_name": "AGNIESZKA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9224296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNIESZKA",
            "last_name": "MULAWA, SUGG",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.