Individual provider Active NPI

Laura Todd Molina, DNP, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1215577309
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11005625 Issued in FL
Practice address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone
(904) 244-0411
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9298151 FL
Certified Registered Nurse Anesthetist 367500000X 10022950 OR
Certified Registered Nurse Anesthetist 367500000X APRN11005625 FL Primary

Addresses

Primary practice location

655 W 8TH St
Jacksonville, FL 32209-6511

Mailing address

3155 College St
Jacksonville, FL 32205-5703
Phone (386) 589-2224

Other practice location 1

900 Sunset Dr
LA Grande, OR 97850-1387
Phone (541) 963-8421

Other names 1

  • Laura Todd Antalek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND, KY, OR, VA, MD6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20200214001222 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759717515 Reassigns benefits to 6 organizations
I20221110000741 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759717515 Reassigns benefits to 2 organizations
I20230323000515 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759717515 Reassigns benefits to 3 organizations
I20240422002553 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759717515 Reassigns benefits to 2 organizations
I20250410003262 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759717515 Reassigns benefits to 1 organization
I20260625001675 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759717515 Reassigns benefits to 1 organization

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
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians
Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians
Sunbelt Anesthesia Services, LLCGroup PAC ID 9436392438, 21 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

251 N 4TH St
Specialty Physicians of Garrett County
Oakland, MD 21550-1375
Phone (301) 533-4000

7051 Southpoint Pkwy S
Jacksonville, FL 32216-8713
Phone (904) 854-4854

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

Hospital & facility affiliations

  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018
  • Grande Ronde Hospital Hospital, La Grande, OR, CCN 381321

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9298151FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jun 3, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 3, 2020 Accepting new patients
Valley Health Anesthesia Services, LLC CurrentSince Apr 1, 2025 Accepting new patients
St. Claire Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Oct 5, 2022 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Oct 5, 2022 Accepting new patients
Greater Louisville Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2023 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 3, 2020 Accepting new patients
Sunbelt Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2021 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 3, 2020 Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients

Locations

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

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

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

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

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1030 A1A N
Ponte Vedra Beach, FL 32082
Phone (904) 285-1199

2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740

3290 Solutions Ctr
Chicago, IL 60677

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

220 Campus Blvd
Ste 320
Winchester, VA 22601

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 22

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 22

Hospital & facility affiliations 7

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1215577309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 COLLEGE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055703",
            "telephone_number": "386-589-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501387",
            "country_code": "US",
            "telephone_number": "541-963-8421",
            "fax_number": "541-963-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "LAURA",
        "middle_name": "TODD",
        "credential": "DNP, APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9298151",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10022950",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11005625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ANTALEK",
            "middle_name": "TODD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.