Individual provider Active NPI

Cary Panichello, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1407454408
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11010676 Issued in FL
Practice address
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone
(813) 870-4000
NPI assigned
Oct 12, 2020
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 15692 WI
Certified Registered Nurse Anesthetist 367500000X APRN11010676 FL Primary
Registered Nurse 163W00000X 9414750 FL

Addresses

Primary practice location

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-7496

Other practice location 1

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-4450

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Cary.PanichelloCRNA@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, IL, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210203000947 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729492715 Reassigns benefits to 7 organizations
I20241016000047 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729492715 Reassigns benefits to 9 organizations
I20250310000182 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729492715 Reassigns benefits to 1 organization
I20251105001737 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729492715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

3800 Johnson St
Suite D
Hollywood, FL 33021-6052
Phone (917) 681-4963

507 E Fremont St
Burgaw, NC 28425-5131
Phone (910) 300-4000

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9414750FLMDRegistered Nurse
15692WIMDPhysical Therapist
7862NCMDOccupational Therapist
APRN11010676FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Pender Memorial Hospital Incorporated CurrentSince Oct 13, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 7, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 4, 2026 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 7, 2024 Accepting new patients
Pender Memorial Hospital, Incorporated CurrentSince Oct 13, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 7, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 7, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 7, 2024 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Baycare Medical Group, Inc CurrentSince Nov 2, 2023 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Feb 1, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 7, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 7, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 2, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 7, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Jan 4, 2026 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2025 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Feb 1, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Oct 13, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 7, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 17, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 7, 2024 Accepting new patients

Locations (25 of 30)

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

Interoperability endpoints

  • Direct secure messaging: cary.panichellocrna@direct.mybaycare.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 31

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 31

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1407454408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Stout St",
            "address_purpose": "LOCATION",
            "city": "Rice Lake",
            "state": "WI",
            "postal_code": "548685000",
            "country_code": "US",
            "telephone_number": "715-236-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANICHELLO",
        "first_name": "CARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "15692",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11010676",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9414750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cary.PanichelloCRNA@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 W Dr Martin Luther King Jr Blvd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336076307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1700 W Stout St",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548685000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 17, 2024; 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.