Individual provider Active NPI

Marla Jo Copeland, CRNA

  • Certified Registered Nurse Anesthetist
  • Port Charlotte, FL
National Provider Identifier
1699342402
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11013903 Issued in FL
Practice address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone
(941) 766-4125
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 RN9309948 FL
Certified Registered Nurse Anesthetist 367500000X APRN11013903 FL Primary

Addresses

Primary practice location

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Mailing address

12522 Astor PL
Fort Myers, FL 33913-2602
Phone (239) 989-2214

Other practice location 1

5380 Tech Data Dr Ste 101
Clearwater, FL 33760-3122
Phone (727) 437-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL FtMyers

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011000210 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052719705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score
19.81 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9309948FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Punta Gorda HB Medical Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 31, 2023 Accepting new patients
Punta Gorda HB Medical Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 31, 2023 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Mar 30, 2023 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

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

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

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

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Organizations & group practices 4

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 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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1699342402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 ASTOR PL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339132602",
            "telephone_number": "239-989-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5380 Tech Data Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337603122",
            "country_code": "US",
            "telephone_number": "727-437-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "MARLA",
        "middle_name": "JO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9309948",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11013903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FtMyers",
            "affiliation": "N",
            "endpointDescription": "home",
            "address_1": "5380 Tech Data Dr Ste 101",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337603122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.