Individual provider Active NPI

Michael C McGowan, CRNA

  • Certified Registered Nurse Anesthetist
  • Kissimmee, FL
National Provider Identifier
1386914828
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11003196 Issued in FL
Practice address
100 E Dakin Ave
Kissimmee, FL 34741-5724
Phone
(321) 442-0192
NPI assigned
Dec 30, 2011
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D141888 IA
Certified Registered Nurse Anesthetist 367500000X 2012003064 MO
Certified Registered Nurse Anesthetist 367500000X APRN11003196 FL Primary
Certified Registered Nurse Anesthetist 367500000X AP136686 TX

Addresses

Primary practice location

100 E Dakin Ave
Kissimmee, FL 34741-5724

Mailing address

15128 Heron Hideaway Cir
Winter Garden, FL 34787-1707
Phone (601) 720-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, FL, CO, TX, OK, SC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20131219000732 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820259344 Reassigns benefits to 1 organization
I20200730000322 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820259344 Reassigns benefits to 3 organizations
I20211103001866 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820259344 Reassigns benefits to 1 organization
I20220103000501 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820259344 Reassigns benefits to 4 organizations
I20220418000879 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820259344 Reassigns benefits to 1 organization
I20220727003140 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820259344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23857SCMDSpecialist
D141888IAMDCertified Registered Nurse Anesthetist
AP136686TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
County of Ward CurrentSince Apr 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jun 12, 2022 Accepting new patients
Mitchell County Hospital Health Systems Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2021 Accepting new patients
MCH Professional Care Hospital Based CurrentSince Jul 1, 2022 Accepting new patients
St. Vincent General Hospital District CurrentSince Sep 1, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
St. Vincent General Hospital District CurrentSince Sep 1, 2021 Accepting new patients
Revitalizing Infusion Therapies, LLC CurrentSince Oct 1, 2021 Accepting new patients
Great Plains of Smith Co., Inc. Current Accepting new patients
County of Ward Current Accepting new patients
Musc Community Physicians CurrentSince Jun 12, 2022 Accepting new patients
County of Ward CurrentSince Apr 1, 2024 Accepting new patients

Locations

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

100 E Dakin Ave
Kissimmee, FL 34741
Phone (321) 233-9282

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

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1386914828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15128 HERON HIDEAWAY CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871707",
            "telephone_number": "601-720-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E DAKIN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415724",
            "telephone_number": "321-442-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D141888",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2012003064",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11003196",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP136686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.