Active NPI
Kelly Christine Gignac, CRNA
- Certified Registered Nurse Anesthetist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9297235
- Practice address
- 1220 E Venice Ave
Venice, FL 34285-7151 - Phone
- (941) 484-5000
- NPI assigned
- Jan 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9297235 | FL | Primary |
Addresses
Primary practice location
1220 E Venice Ave
Venice, FL 34285-7151
Mailing address
1220 E Venice Ave
Venice, FL 34285-7151
Phone (941) 442-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051589 | Medicaid | NC | |
| AN1722 | Medicaid | SC | |
| 430073628 | Other | NC | RAILROAD-MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 E Venice Ave
Venice, FL 34285-7151
Phone (941) 484-5000
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
Hospital & facility affiliations
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9297235 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sarasota Anesthesiologists, PA | Current | Accepting new patients | |
| FDHS Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Anesthesia Associates of Southwest Florida LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Syracuse, PC | Past | Accepting new patients |
Locations
2902 59th St W
Ste Fandg
Bradenton, FL 34209
Phone (941) 792-9685
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
1261 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-1164
2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145
3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360
560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326
1220 E Venice Ave
Venice, FL 34285
Phone (941) 441-1018
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Venice, FL
- NPI 1881652899
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bradenton, FL
- NPI 1619571361
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710917976
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1790718591
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1932246907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342857151",
"telephone_number": "941-442-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342857151",
"telephone_number": "941-484-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIGNAC",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9297235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051589",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1722",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD-MEDICARE",
"identifier": "430073628",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.