Mary-Charlotte Bardin, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · St Petersburg, FL
NPI 1881216620 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1881216620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 11007185 (FL)
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1388 - Phone
- (727) 825-1100
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Florida Anesthesiologists LLC
Practice addresses (Care Compare)
1200 7TH Ave N
Saint Petersburg, FL 33705-1300
Phone (954) 939-5000
900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000
Hospital & facility affiliations
- St Anthonys Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200716004018 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395169841 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9356497 | FL | MD | Registered Nurse |
| 11007185 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current |
Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
7700 W Sunrise Blvd
Fl 1
Plantation, FL 33322
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9356497 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 11007185 | FL | Yes |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1388
Mailing address
756 16TH Ave N
St Petersburg, FL 33704-3338
Phone (614) 226-3040
Other providers in St Petersburg, FL
- Andrew Barbieri
- Emily Barbosa
- Jerry Levy Barbosa
- Linda K Barchie
- Kaylea Renae Bard
- Monika Bardzilauskaite
- William Bare
- Claudia Barhorst
- Audrey P. Baria
- Manish B. Baria
All providers in St Petersburg, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.