Individual provider Active NPI

Theresa Keefer

  • Certified Registered Nurse Anesthetist
  • Cantonment, FL
National Provider Identifier
1396282083
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2025037514 Issued in MO
Practice address
1201 Meadow TRL
Cantonment, FL 32533-2610
Phone
(850) 380-9682
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 9245326 FL
Certified Registered Nurse Anesthetist 367500000X 2025037514 MO Primary
Certified Registered Nurse Anesthetist 367500000X 218969 AR

Addresses

Primary practice location

1201 Meadow TRL
Cantonment, FL 32533-2610

Mailing address

1201 Meadow TRL
Cantonment, FL 32533-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170327002132 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305121781 Reassigns benefits to 6 organizations
I20230419001161 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305121781 Reassigns benefits to 6 organizations
I20260527002111 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305121781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Anesthesia Associates PLLCGroup PAC ID 6406023142, 85 clinicians
Renew Medical Group of MissouriGroup PAC ID 3476043233, 23 clinicians

Practice addresses (Care Compare)

10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 227-5050

3050 E River Bluff Blvd
Ozark, MO 65721-8807
Phone (417) 885-3000

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000

761 Beard Dr
Mountain Home, AR 72653-2961
Phone (870) 508-6700

9500 Kanis Rd
Suite 401
Little Rock, AR 72205-6377
Phone (501) 227-9088

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9245326FLMDCertified Registered Nurse Anesthetist
2025037514MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jun 1, 2025 Accepting new patients
Johnson Regional Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Anesthesia Associates of Southwest Florida LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2020 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jan 10, 2023 Accepting new patients
FDHS Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Johnson Regional Medical Center CurrentSince Jul 1, 2023 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jan 10, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Digestive Anesthesia Associates LLC CurrentSince Apr 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
MSC Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2020 Accepting new patients
Mercy Hospital Berryville CurrentSince Jan 1, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2023 Accepting new patients

Locations (25 of 27)

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454

620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

624 Hospital Dr
#4610
Mountain Home, AR 72653
Phone (870) 508-1810

624 Hospital Dr
#3600
Mountain Home, AR 72653

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

601 Manatee Ave W
Bradenton, FL 34205
Phone (941) 745-2727

2902 59th St W
Ste F
Bradenton, FL 34209
Phone (941) 792-9685

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

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

63 Barkley Cir
Fort Myers, FL 33907
Phone (941) 936-5400

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

2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145

2830 University Pkwy
Sarasota, FL 34243
Phone (513) 410-0103

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

7300 Bryan Dairy Rd
Ste 495
Seminole, FL 33777
Phone (727) 451-6780

5771 49th St N
St Petersburg, FL 33709
Phone (727) 443-4299

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

Organizations & group practices 15

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 15

Hospital & facility affiliations 9

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1396282083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MEADOW TRL",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325332610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MEADOW TRL",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325332610",
            "telephone_number": "850-380-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9245326",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2025037514",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "218969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cantonment, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.