Active NPI
Karissa Hansen, CRNA
- Certified Registered Nurse Anesthetist
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11003751
- Practice address
- 1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065 - Phone
- (863) 680-7000
- Fax
- (866) 264-8519
- NPI assigned
- Feb 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11003751 | FL | Primary |
| Registered Nurse | 163W00000X | R214521 | MD |
Addresses
Primary practice location
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone (863) 680-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lakeland |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10900 SE 174TH Place Rd
Summerfield, FL 34491-8984
Phone (352) 245-7427
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Hospital & facility affiliations
- Lakeland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.18 of 100
- Quality
- 70.68
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R214521 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| Watson Clinic LLP | Current | Accepting new patients | |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients |
Locations
2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lakeland, FL
- NPI 1316940695
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1700044252
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1851252902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1194282293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053065",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053065",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "KARISSA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11003751",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R214521",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lakeland",
"affiliation": "N",
"address_1": "1600 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.