Individual provider Active NPI

Craig William Hantl, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1760685309
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN9175080 Issued in FL
Practice address
901 34TH Ave N.
#7266
St. Petersburg, FL 33704
Phone
(727) 203-5114
NPI assigned
Jun 11, 2007
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 RN9175080 FL Primary

Addresses

Primary practice location

901 34TH Ave N.
#7266
St. Petersburg, FL 33704

Mailing address

901 34TH Ave N.
#7266
St. Petersburg, FL 33704
Phone (727) 203-5114

Other identifiers 2

IdentifierTypeStateIssuer
G4274OtherFLBCBS
312200000OtherFLMEDICIAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070904000227 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749373009 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1109 US Hwy 19
Holiday, FL 34691-5638
Phone (727) 934-5705

7051 Southpoint Pkwy S
Jacksonville, FL 32216-8713
Phone (904) 493-2229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Sunbelt Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 1, 2017 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Sleepy Head Anesthesiology LLC CurrentSince Mar 10, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 1, 2017 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Sep 1, 2020 Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Lockwood & Steely, MD's, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2016 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients

Locations (25 of 27)

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101

8000 State Road 64 E
Ste 205
Bradenton, FL 34212
Phone (727) 203-5114

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone 90439827201308

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

301 N Alexander St
Plant City, FL 33563
Phone (813) 757-1200

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

2830 University Pkwy
Sarasota, FL 34243
Phone (513) 410-0103

625 6th Ave S
Ste 150
St Petersburg, FL 33701
Phone (727) 440-4888

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

6918 Gunn Hwy
Tampa, FL 33625
Phone (813) 543-0800

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1760685309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 34TH AVE N.",
            "address_2": "#7266",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-203-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 34TH AVE N.",
            "address_2": "#7266",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-203-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTL",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9175080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G4274",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICIAD",
            "identifier": "312200000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.