Active NPI
Nikola Kankova Matson, CRNA
- Certified Registered Nurse Anesthetist
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA3353032
- Practice address
- 201 W Guava St
Lady Lake, FL 32159-1701 - Phone
- (772) 532-8559
- NPI assigned
- May 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA10025152 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-558330 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 2023013699 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA1171167 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA3353032 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0024187386 | VA |
Addresses
Primary practice location
201 W Guava St
Lady Lake, FL 32159-1701
Mailing address
810 Las Cruces CT
Lady Lake, FL 32159-5777
Phone (772) 559-7849
Other practice location 1
2060 W 39th Ave
Kansas City, KS 66103-2943
Phone (913) 588-5000
Other practice location 2
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
Other practice location 3
4000 Cambridge St
Kansas City, KS 66160-8501
Phone (913) 588-1227
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO, DC, AZ, KS, TX
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 W Guava St
Lady Lake, FL 32159-1701
Phone (954) 939-5000
2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300
2316 E Meyer Blvd
HCA Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762
919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466
Hospital & facility affiliations
- University of Kansas Hospital
- Research Medical Center
- St David'S Medical Center
- Uf Health Leesburg Hospital
- Villages Regional Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA3353032 | FL | MD | Certified Registered Nurse Anesthetist |
| 43-558330 | KS | MD | Certified Registered Nurse Anesthetist |
| CRNA10025152 | MA | MD | Certified Registered Nurse Anesthetist |
| CRNA1171167 | TX | MD | Certified Registered Nurse Anesthetist |
| CRNA0024187386 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| St. Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Missouri, LLC | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients | |
| Steward Anesthesiology Physicians of Florida Inc. | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Treasure Coast Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients |
Locations
13400 E Shea Blvd
Scottsdale, AZ 85259
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
10080 SW Innovation Way
Ste 101
Port St Lucie, FL 34987
Phone (561) 358-2445
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
Organizations & group practices 16
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.
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1700044252
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
-
- Anesthesiology Physician
- Leesburg, FL
- NPI 1598624421
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Anesthesiology Physician
- Sebastian, FL
- NPI 1336786029
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Anesthesiology Physician
- Vero Beach, FL
- NPI 1609424415
-
- Anesthesiology Physician
- Hollywood, FL
- NPI 1831761568
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1861920373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 LAS CRUCES CT",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321595777",
"telephone_number": "772-559-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W GUAVA ST",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321591701",
"telephone_number": "772-532-8559"
}
],
"practiceLocations": [
{
"address_1": "2060 W 39th Ave",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661032943",
"country_code": "US",
"telephone_number": "913-588-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2316 E Meyer Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641321136",
"country_code": "US",
"telephone_number": "816-276-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Cambridge St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608501",
"country_code": "US",
"telephone_number": "913-588-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATSON",
"first_name": "NIKOLA",
"middle_name": "KANKOVA",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-28",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "CRNA10025152",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-558330",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2023013699",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "CRNA1171167",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "CRNA3353032",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "CRNA0024187386",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Dept Anesthesiology",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.