Individual provider Active NPI

Nicole Mareno Escarra, CRNA

  • Certified Registered Nurse Anesthetist
  • Boston, MA
National Provider Identifier
1184985269
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9273853 Issued in FL
Practice address
Massachusetts General Hospital - Main Campus
55 Fruit Street
Boston, MA 02114
Phone
(617) 726-2000
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9273853 FL Primary
Certified Registered Nurse Anesthetist 367500000X RN2329639 MA

Addresses

Primary practice location

Massachusetts General Hospital - Main Campus
55 Fruit Street
Boston, MA 02114

Mailing address

25 Milo Street
West Newton, MA 02465-1011
Phone (262) 490-2551

Other practice location 1

4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322
Phone (239) 332-5344 ext. 214

Other practice location 2

9617 Gulf Research Ln
Fort Myers, FL 33912-4560
Phone (239) 418-0999

Other names 1

  • Nicole Whitney Mareno Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000533 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941466437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan M Frantz, MD PAGroup PAC ID 9234039140, 25 clinicians

Practice addresses (Care Compare)

9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone (239) 418-0262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9273853FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Anesthesia of Southwest Florida Inc CurrentSince Feb 1, 2021 Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients

Locations

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1184985269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MILO STREET",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651011",
            "telephone_number": "262-490-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MASSACHUSETTS GENERAL HOSPITAL - MAIN CAMPUS",
            "address_2": "55 FRUIT STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4048 Evans Ave",
            "address_2": "STE 303",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019322",
            "country_code": "US",
            "telephone_number": "239-332-5344 x214",
            "fax_number": "239-332-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9617 Gulf Research Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124560",
            "country_code": "US",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCARRA",
        "first_name": "NICOLE",
        "middle_name": "MARENO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9273853",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2329639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MARENO",
            "middle_name": "WHITNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.