Individual provider Active NPI

Mona Dee Matson, CRNA

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1447582838
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 3371442 Issued in FL
Practice address
6101 Pine Ridge Road
Naples, FL 34119-3900
Phone
(239) 348-4400
Fax
(239) 348-4469
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 3371442 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Road
Naples, FL 34119-3900

Mailing address

255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000833 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274660675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1656 Anesthesia LLCGroup PAC ID 7012154255, 12 clinicians

Practice addresses (Care Compare)

1656 Medical Blvd
Suite 201
Naples, FL 34110-1423
Phone (239) 449-4945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 3371442FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services Plus Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jun 1, 2018 Accepting new patients
1656 Anesthesia, LLC CurrentSince Jun 1, 2020 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

1656 Medical Blvd
Ste 201
Naples, FL 34110
Phone (239) 431-5713

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

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

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1447582838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "PO BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE ROAD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-348-4400",
            "fax_number": "239-348-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "MONA",
        "middle_name": "DEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN 3371442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.