Individual provider Active NPI

Tanis Burgess-Barker, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1386083574
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3285952 Issued in ZZ
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 667-0444
Fax
(407) 667-4338
NPI assigned
Jun 20, 2013
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 ARNP3285952 ZZ Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

851 Trafalgar CT Ste 200E
Maitland, FL 32751-7420
Phone (407) 667-0444

Other practice location 1

1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Phone (407) 333-5111

Other identifiers 6

IdentifierTypeStateIssuer
OJ425OtherMEDICARE
OJ422OtherMEDICARE
OJ429OtherMEDICARE
009084900MedicaidFL
PENDINGOtherFLBCBS
PENDINGMedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000244 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274775069 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amsurg Citrus Anesthesia LLCGroup PAC ID 9436399854, 5 clinicians

Practice addresses (Care Compare)

2861 Delaney Ave a
Orlando, FL 32806-5409
Phone (407) 472-5095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3285952ZZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Filutowski Eye Institute PA CurrentSince Oct 4, 2021 Accepting new patients
Filutowski Eye Institute PA CurrentSince Oct 4, 2021 Accepting new patients
Amsurg Citrus Anesthesia LLC CurrentSince May 2, 2025 Accepting new patients
Filutowski Eye Institute PA CurrentSince Oct 4, 2021 Accepting new patients
Filutowski Eye Institute PA CurrentSince Oct 4, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2024 Accepting new patients
Filutowski Eye Institute PA Current Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2024 Accepting new patients
MNH Gi Anesthesia & Pain Management LLC CurrentSince Aug 24, 2020 Accepting new patients
Florida Anesthesia & Pain Management Associates, LLC CurrentSince Feb 1, 2021 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 23, 2019 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered PastSince Dec 5, 2020 Accepting new patients
Waterman Anesthesiology Group PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

255 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 536-1673

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696

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

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537

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

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

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

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095

110 Underwood St
Ste B
Orlando, FL 32806
Phone (407) 342-5842

2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tanis.burgess.p3@direct.fcli.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1386083574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 TRAFALGAR CT STE 200E",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517420",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-667-0444",
            "fax_number": "407-667-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Greenwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465404",
            "country_code": "US",
            "telephone_number": "407-333-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS-BARKER",
        "first_name": "TANIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ZZ",
            "license": "ARNP3285952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OJ425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OJ422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OJ429",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009084900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.