Individual provider Active NPI

Nikola Kankova Matson, CRNA

  • Certified Registered Nurse Anesthetist
  • Lady Lake, FL
National Provider Identifier
1861920373
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA3353032 Issued in FL
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

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20170824000790 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476825548 Reassigns benefits to 5 organizations
I20230802002435 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476825548 Reassigns benefits to 1 organization
I20240219001764 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476825548 Reassigns benefits to 1 organization
I20240924003848 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476825548 Reassigns benefits to 1 organization
I20251031000458 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476825548 Reassigns benefits to 1 organization
I20260402000622 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476825548 Reassigns benefits to 1 organization

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
St Lucie Anesthesia Associates LLCGroup PAC ID 4284792706, 79 clinicians
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians
Capital Anesthesia Solutions of Missouri LLCGroup PAC ID 1456764885, 75 clinicians
Apollo Medical Group of Central Florida PLLCGroup PAC ID 1153898556, 41 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

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 Hospital, Kansas City, KS, CCN 170040
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
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

LicenseStateTypeSpecialty
CRNA3353032FLMDCertified Registered Nurse Anesthetist
43-558330KSMDCertified Registered Nurse Anesthetist
CRNA10025152MAMDCertified Registered Nurse Anesthetist
CRNA1171167TXMDCertified Registered Nurse Anesthetist
CRNA0024187386VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Nov 3, 2025 Accepting new patients
St Lucie Anesthesia Associates LLC Current Accepting new patients
St. Lucie Anesthesia Associates LLC CurrentSince Jul 1, 2025 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 1, 2019 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC CurrentSince Jul 1, 2025 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Nov 3, 2025 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Jul 1, 2025 Accepting new patients
Steward Anesthesiology Physicians of Florida Inc. CurrentSince Aug 9, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 1, 2019 Accepting new patients
Mayo Clinic Arizona CurrentSince Aug 19, 2024 Accepting new patients
Mayo Clinic Arizona CurrentSince Aug 19, 2024 Accepting new patients
Treasure Coast Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2017 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Jan 7, 2024 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.

View all 16

Hospital & facility affiliations 8

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": "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.

Verify at the official NPI Registry.