Individual provider Active NPI

Missy Elaine Mims Kirkman, CRNA

  • Certified Registered Nurse Anesthetist
  • Largo, FL
National Provider Identifier
1487693305
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11019775 Issued in FL
Practice address
148 13TH St SW Ste 200
Largo, FL 33770-3127
Phone
(727) 450-3030
Fax
(727) 450-3031
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 128383 NC
Certified Registered Nurse Anesthetist 367500000X APRN11019775 FL Primary

Addresses

Primary practice location

148 13TH St SW Ste 200
Largo, FL 33770-3127

Mailing address

PO Box 633
Largo, FL 33779-0633
Phone (646) 670-7609

Other practice location 1

114 Commerce Center Loop Ste B
Mooresville, NC 28117-8385
Phone (704) 662-0877

Other practice location 2

6133 Central Ave
St Petersburg, FL 33710-8529
Phone (727) 581-8706

Other identifiers 1

IdentifierTypeStateIssuer
NAN652MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040823001310 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739153065 Reassigns benefits to 15 organizations
I20220711000395 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739153065 Reassigns benefits to 5 organizations
I20250423002444 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739153065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabarrus Gastroenterology Associates PLLCGroup PAC ID 9436059649, 51 clinicians
Grogan Smith and Martini PLGroup PAC ID 5092765693, 9 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Novant Health Rowan Medical Center LLCGroup PAC ID 3375452519, 56 clinicians

Practice addresses (Care Compare)

1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 783-1840

148 13TH St SW
Suite 200
Largo, FL 33770-3127
Phone (727) 450-3030

4016 Sun City Ctr Blvd
Sun City Center, FL 33573-5256
Phone (813) 634-3301

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (336) 277-8757

Hospital & facility affiliations

  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128383NCMDAnesthesiology Physician
APRN11019775FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Anesthesia Services Group Inc CurrentSince Nov 28, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Mar 18, 2024 Accepting new patients
The Presbyterian Hospital CurrentSince Mar 18, 2024 Accepting new patients
The Charlotte Mecklenburg Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince May 1, 2015 Accepting new patients
Medical Park Hospital LLC CurrentSince Mar 18, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Mar 18, 2024 Accepting new patients
The Presbyterian Hospital CurrentSince Mar 18, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Mar 18, 2024 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 15, 2025 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC CurrentSince Mar 16, 2026 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Mar 4, 2025 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA CurrentSince Aug 22, 2025 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Jan 29, 2024 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 1, 2015 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Lake Norman Anesthesia Associates CurrentSince Jul 1, 2026 Accepting new patients
Medical Park Hospital LLC CurrentSince Mar 18, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Cabarrus Gastroenterology Associates, PLLC CurrentSince Mar 16, 2026 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Carolinas Medical Center - University Nurse Anesthetist, Certified Registered Past Accepting new patients
Grogan Smith & Martini PL Nurse Anesthetist, Certified Registered PastSince Jun 2, 2024 Accepting new patients

Locations (25 of 26)

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

100 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 705-9555

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

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

5741 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 342-1303

5959 Central Ave
Ste 101
St Petersburg, FL 33710
Phone (727) 321-9644

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

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

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

1070 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 783-1840

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

Organizations & group practices 38

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 38

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1487693305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337790633",
            "telephone_number": "646-670-7609",
            "fax_number": "727-450-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW STE 200",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-450-3030",
            "fax_number": "727-450-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Commerce Center Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178385",
            "country_code": "US",
            "telephone_number": "704-662-0877",
            "fax_number": "704-662-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6133 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108529",
            "country_code": "US",
            "telephone_number": "727-581-8706",
            "fax_number": "727-285-8351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMS KIRKMAN",
        "first_name": "MISSY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "128383",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11019775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN652",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.