Individual provider Active NPI

Rebecca A Mates, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1790358000
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
227508 Issued in OK
Practice address
920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036
Phone
(405) 271-4351
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 227508 OK Primary
Registered Nurse 163W00000X 9448202 FL
Certified Registered Nurse Anesthetist 367500000X 11017739 FL

Addresses

Primary practice location

920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036

Mailing address

2004 Yale Ave
Dunedin, FL 34698-2641
Phone (847) 460-8010

Other practice location 1

300 Pinellas St
Clearwater, FL 33756-3804
Phone (847) 460-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220317002875 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496140022 Reassigns benefits to 1 organization
I20251009002792 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496140022 Reassigns benefits to 1 organization
I20260608001135 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496140022 Reassigns benefits to 1 organization

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
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

3280 N McMullen Booth Rd
Suite 110
Clearwater, FL 33761-2046
Phone (727) 787-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9448202FLMDRegistered Nurse
11017739FLMDCertified Registered Nurse Anesthetist
227508OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 23, 2023 Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients

Locations

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1790358000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 YALE AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982641",
            "telephone_number": "847-460-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD STE 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pinellas St",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563804",
            "country_code": "US",
            "telephone_number": "847-460-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATES",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "227508",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9448202",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11017739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.