Individual provider Active NPI

Cody Wallace Aucoin

  • Certified Registered Nurse Anesthetist
  • Largo, FL
National Provider Identifier
1245727080
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
118304 Issued in LA
Practice address
201 14TH St SW
Largo, FL 33770
Phone
(727) 588-5200
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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 118304 LA Primary

Addresses

Primary practice location

201 14TH St SW
Largo, FL 33770

Mailing address

14227 S Lakeshore Dr
Covington, LA 70435-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA, AR, CO, NC, VA, TN7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20180919003761 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342 Reassigns benefits to 1 organization
I20191001001460 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342 Reassigns benefits to 4 organizations
I20220303001778 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342 Reassigns benefits to 1 organization
I20220505000481 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342
I20230126001645 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342 Reassigns benefits to 1 organization
I20230519002354 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342 Reassigns benefits to 1 organization
I20250328000639 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698026342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 546-8040

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220

9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6941NCMDMental Health Counselor
118304LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Mar 25, 2025 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Total Anesthesia Care STPH, LLC CurrentSince May 24, 2021 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Apr 1, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Mar 25, 2025 Accepting new patients
Prime Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Apr 4, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 25, 2018 Accepting new patients
Diversified Professionals, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Dpi of Louisiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 25, 2018 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

120 Innwood Dr
Covington, LA 70433

3636 S I 10 Service Rd W
Ste 204
Metairie, LA 70001
Phone (504) 218-4936

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1245727080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14227 S LAKESHORE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704355766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33770",
            "telephone_number": "727-588-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUCOIN",
        "first_name": "CODY",
        "middle_name": "WALLACE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "118304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.