Active NPI
Maria Angelina Supan, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP120425
- Practice address
- 6720 Bertner Ave
Houston, TX 77030-2604 - Phone
- (832) 355-2666
- Fax
- (713) 798-4693
- NPI assigned
- Jul 15, 2011
- Last updated
- May 15, 2025
- Sex
- Female
- 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 | 683835 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11021869 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | AP120425 | TX | Primary |
Addresses
Primary practice location
6720 Bertner Ave
Houston, TX 77030-2604
Mailing address
6501 Fannin St Ste Nc114
Houston, TX 77030-2703
Phone (713) 798-7356
Other practice location 1
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Phone (972) 233-1999
Other practice location 2
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Phone (713) 620-4000
Other practice location 3
1261 S Tamiami Trl
Sarasota, FL 34239-2219
Phone (941) 366-1164
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282551502 | Medicaid | TX | |
| P01000988 | Other | TX | RAILROAD MEDICARE |
| 282551501 | Medicaid | TX | |
| 8759UB | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
Enrollment records 2
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
Practice addresses (Care Compare)
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11021869 | FL | MD | Certified Registered Nurse Anesthetist |
| 683835 | TX | MD | Certified Registered Nurse Anesthetist |
| AP120425 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Punta Gorda HB Medical Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Punta Gorda HB Medical Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Sarasota Anesthesiologists, PA | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Sarasota Anesthesia | Past | Accepting new patients |
Locations
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1261 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-1164
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
Networks
- Freedom Health HMO Network
Organizations & group practices 10
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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Anesthesiology Physician
- Port Charlotte, FL
- NPI 1013782861
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710917976
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Multi-Specialty Clinic/Center
- Venice, FL
- NPI 1538934427
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245663509
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Port Charlotte
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1447548169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 FANNIN ST STE NC114",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-798-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 BERTNER AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302604",
"telephone_number": "832-355-2666",
"fax_number": "713-798-4693"
}
],
"practiceLocations": [
{
"address_1": "1500 Citywest Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770422549",
"country_code": "US",
"telephone_number": "972-233-1999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2411 Fountain View Dr",
"address_2": "Ste. 200",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770574817",
"country_code": "US",
"telephone_number": "713-620-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1261 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342392219",
"country_code": "US",
"telephone_number": "941-366-1164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUPAN",
"first_name": "MARIA",
"middle_name": "ANGELINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "683835",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11021869",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP120425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282551502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01000988",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282551501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8759UB",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Sunspire Health Texas LLC (Meadows Outpatient Center Houston)
- Sunya Rachell Claiborne (Kashmere Garden Healthcare Clinic)
- Liye Suo, M.D
- Cathy Poerner Supak, ATC, LAT
- Elisa Marie CHI Supan, PHARM.D.
- Suparna Chhibber MD PA
- Super Dental Bros PLLC
- Super Star Healthcare Services LLC
- Superior Choice
- Superior Choice Medical Services Inc. (None)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.