Individual provider Active NPI

Angela Michelle Mitchell, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1295710689
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP1095252 Issued in FL
Practice address
2901 W Swann Ave
Tampa, FL 33609-4056
Phone
(913) 754-0467
Fax
(913) 341-5797
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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 ARNP1095252 FL Primary

Addresses

Primary practice location

2901 W Swann Ave
Tampa, FL 33609-4056

Mailing address

PO Box 862506
Orlando, FL 32886-2506
Phone (913) 754-0467

Other identifiers 3

IdentifierTypeStateIssuer
430055965OtherRAILROAD MEDICARE
305450100MedicaidFL
G1221OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000193 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931097797 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rasc Anesthesia, LLCGroup PAC ID 9234599598, 5 clinicians

Practice addresses (Care Compare)

200 3Rd Ave W
Suite 170
Bradenton, FL 34205-8632
Phone 94178543911019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 22, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 22, 2019 Accepting new patients
Feinerman Anesthesia PA CurrentSince Feb 25, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
James G Hankerson PA Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2014 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Rasc Anesthesia LLC CurrentSince Apr 3, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Ultimate Anesthesiology LLC Past Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients

Locations

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

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

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

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

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

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

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

11811 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 357-5900

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

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

Organizations & group practices 10

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1295710689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862506",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862506",
            "telephone_number": "913-754-0467",
            "fax_number": "913-754-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094056",
            "telephone_number": "913-754-0467",
            "fax_number": "913-341-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1095252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430055965",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305450100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G1221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 30, 2009; 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.