Active NPI
Cary Panichello, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11010676
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NC
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9414750 | FL | MD | Registered Nurse |
| 15692 | WI | MD | Physical Therapist |
| 7862 | NC | MD | Occupational Therapist |
| APRN11010676 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | 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
- cary.panichellocrna@direct.mybaycare.org
- 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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Anesthesiology Physician
- Hollywood, FL
- NPI 1700528346
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1104879816
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Venice, FL
- NPI 1811569197
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba AdventHealth Carrollwood
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
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.