Stefanie Tai-Ling Macedonio, DNP, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mangonia Park, FL
NPI 1538026711 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1538026711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 156947 (FL)
- Practice address
- 901 45TH St
Mangonia Park, FL 33407-2413 - Phone
- (561) 844-6300
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Miami, LM Miller School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
265 Brookview Centre Way
Knoxville, TN 37919-4053
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260223002060 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9335620897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156947 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Anesthesia & Pain Treatment, P.a. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 156947 | FL | Yes |
Addresses
Primary practice location
901 45TH St
Mangonia Park, FL 33407-2413
Mailing address
610 Clematis St Apt 818
West Palm Beach, FL 33401-5326
Other providers in Mangonia Park, FL
- Sarah Lambert
- Lisa Leclair
- Angela Jayne Lindsay
- Alvin S Lloyd
- Nicole Louis
- Yolanda Madera Ramos
- Adam Joseph Mann
- Paula Martinek
- Med Aide Services Inc
- Katherine Miller
All providers in Mangonia Park, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.