Individual provider Active NPI

Raquel A Amoldoni, CRNA

  • Certified Registered Nurse Anesthetist
  • Hyannis, MA
National Provider Identifier
1740511708
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9395617 Issued in FL
Practice address
110 Main St
Suite B
Hyannis, MA 02601-3127
Phone
(508) 775-5011
NPI assigned
Jan 14, 2010
Last updated
Apr 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9395617 FL Primary

Addresses

Primary practice location

110 Main St
Suite B
Hyannis, MA 02601-3127

Mailing address

80 Florida St
Unit #3
Dorchester Center, MA 02124-2600
Phone (617) 901-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100312000342 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557496833 Reassigns benefits to 3 organizations
I20161028001699 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557496833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
South Suburban Gastroenterology PCGroup PAC ID 9931194412, 50 clinicians
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

Practice addresses (Care Compare)

7500 SW 87TH Ave
Suite 101
Miami, FL 33173-5426
Phone (305) 595-9511

97 Libbey Pkwy
Suite 300
Weymouth, MA 02189-3110
Phone (781) 331-2922

99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9395617FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Suburban Gastroenterology, PC CurrentSince Sep 12, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
Capa Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Weymouth Endoscopy, LLC PastSince Sep 12, 2024 Accepting new patients
Cap Anesthesia, PC Past Accepting new patients
Cape Cod Anesthesia Associates, Inc. Past Accepting new patients

Locations

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

7875 SW 104th St
Ste 201
Miami, FL 33156
Phone (305) 270-7572

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004

1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922

97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1740511708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FLORIDA ST",
            "address_2": "UNIT #3",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242600",
            "telephone_number": "617-901-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE B",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013127",
            "telephone_number": "508-775-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOLDONI",
        "first_name": "RAQUEL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9395617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.