Individual provider Active NPI

Maria Vitale, CRNA

  • Certified Registered Nurse Anesthetist
  • Apopka, FL
National Provider Identifier
1689202301
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11019769 Issued in FL
Practice address
895 Silvertip Rd
Apopka, FL 32712-6403
Phone
(407) 484-7366
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X APRN11019769 FL Primary

Addresses

Primary practice location

895 Silvertip Rd
Apopka, FL 32712-6403

Mailing address

93 Esperanto Dr
Palm Coast, FL 32164-6238

Other identifiers 1

IdentifierTypeStateIssuer
160921328OtherCODL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220601003221 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507244613 Reassigns benefits to 1 organization
I20230816003581 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507244613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalamazoo Anesthesiology P CGroup PAC ID 3375449473, 135 clinicians

Practice addresses (Care Compare)

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (954) 939-5000

900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Anesthesiology P C CurrentSince Feb 19, 2024 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince May 9, 2022 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Jul 11, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince May 9, 2022 Accepting new patients

Locations

890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

Organizations & group practices 6

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 2

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1689202301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 ESPERANTO DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SILVERTIP RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327126403",
            "telephone_number": "407-484-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "MARIA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11019769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "160921328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.