Individual provider Active NPI

Mary Beth Perry

  • Certified Registered Nurse Anesthetist
  • Panama City, FL
National Provider Identifier
1538728795
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11007095 Issued in FL
Practice address
2338 State Ave
Panama City, FL 32405-4361
Phone
(850) 872-0303
Fax
(850) 872-0305
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X APRN11007095 FL Primary
Certified Registered Nurse Anesthetist 367500000X RN95179984 CA

Addresses

Primary practice location

2338 State Ave
Panama City, FL 32405-4361

Mailing address

UCLA Anesthesiology 757 Westwood Plaza Suite 3325
Los Angeles, CA 90095-7403
Phone (310) 267-3890

Other practice location 1

4720 Saint Croix Ln Apt 133
Naples, FL 34109-3511
Phone (321) 594-1577

Other practice location 2

Ucla Anesthesiology 757 Westwood Plaza Suite 3325
Los Angeles, CA 90095-7403
Phone (310) 267-3890

Other names 1

  • Mary Zavicar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903002852 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274865720 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1285 Creekside Blvd E
Naples, FL 34109-0590
Phone (239) 529-1800

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN95179984CAMDCertified Registered Nurse Anesthetist
APRN11007095FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Florida, LLC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Anesthesia & Pain Consultants of SW FL Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Ams Anesthetist Services LLC Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
US Anesthesia Partners of Florida Inc. Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
American Anesthesiology Services of Florida, Inc. Multi-Specialty CurrentSince Feb 5, 2024 Accepting new patients
White Sands Anesthesia & Pain Medicine Inc Multi-Specialty Past Accepting new patients

Locations

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1285 Creekside Blvd E
Naples, FL 34109
Phone (239) 260-6631

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

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

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

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

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1538728795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA ANESTHESIOLOGY 757 WESTWOOD PLAZA SUITE 3325",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957403",
            "telephone_number": "310-267-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054361",
            "telephone_number": "850-872-0303",
            "fax_number": "850-872-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 Saint Croix Ln Apt 133",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341093511",
            "country_code": "US",
            "telephone_number": "321-594-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ucla Anesthesiology 757 Westwood Plaza Suite 3325",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957403",
            "country_code": "US",
            "telephone_number": "310-267-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11007095",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "RN95179984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ZAVICAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.