Active NPI
Bethany G Logsdon
- Certified Registered Nurse Anesthetist
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11005467
- Practice address
- 1200 7TH Ave N
Saint Petersburg, FL 33705-1300 - Phone
- (727) 825-1100
- NPI assigned
- Oct 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9385387 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11005467 | FL | Primary |
Addresses
Primary practice location
1200 7TH Ave N
Saint Petersburg, FL 33705-1300
Mailing address
1200 7TH Ave N
Saint Petersburg, FL 33705-1388
Phone (727) 825-1100
Other names 1
- Bethany G Corke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200410000071 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8022447135 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Florida College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- US Anesthesia Partners of Florida Inc
Practice addresses (Care Compare)
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (394) 337-7992
Hospital & facility affiliations
- Lee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9385387 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
FL, Nurse Anesthetist, Certified Registered
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": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680998400000",
"number": "1669014874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337051388",
"telephone_number": "727-825-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "BETHANY",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2023-04-09",
"certification_date": "2023-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9385387",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11005467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "CORKE",
"middle_name": "G",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.