Melissa Pena Vidal, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

809325 Issued in TX

Practice address

3909 Swiss Ave
Apt 203
Dallas, TX 75204-6411

Phone

(787) 307-1422

NPI assigned

Dec 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

83.62

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 26)

Networks

• Freedom Health HMO Network

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.

• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• David W Nussear MD LLC

  • Anesthesiology Physician
  • Lake Mary, FL
  • NPI 1700042694
  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ophthalmology Anesthesia Services LLC

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1093741753
  Medicare reassignment NPD
• Orange City Anesthesia Services LLC

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1972882314
  Medicare reassignment NPD
• Sarasota Anesthesia Services LLC

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1689857393
  Medicare reassignment NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Guide Anesthesia FL LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1073408514
  Medicare reassignment
• Innovative Medical Staffing Solutions Inc

  dba iMEDSolutions

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1629308713

  Nurse Anesthetist, Certified Registered

  NPD
• Sarasota Ambulatory Surgery Center LTD

  dba Sarasota Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sarasota, FL
  • NPI 1740230523
  NPD
• Allied Anesthesia Associates, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1467750380
  NPD (past)

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1942570437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 SWISS AVE",
            "address_2": "BOX 463",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046411",
            "telephone_number": "787-307-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 SWISS AVE",
            "address_2": "APT 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046411",
            "telephone_number": "787-307-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Medical Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638261",
            "country_code": "US",
            "telephone_number": "386-231-5257",
            "fax_number": "386-231-3695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA VIDAL",
        "first_name": "MELISSA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "809325",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9493696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisayo Hara Pelton, CNP
• Matthias Peltz, MD
• Pelvic Specialty Surgery Suites LLC
• Jennifer Katheryn Pemberton, RN, FNP
• Helene Nicolle Pena Sahdala, MD
• Adrian Israel Pena
• Blanca Erika Pena, DDS
• Gustavo Pena Jr.
• Israel Pena, LCDC
• Javier Pena Jr., M.D.

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.