Individual provider Active NPI

Maickoll Alejandro Papastavros, RN, CCRN

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1962151597
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1191413 Issued in TX
Practice address
918 NW 23Rd CT
Miami, FL 33125-3220
Phone
(305) 726-8726
NPI assigned
Mar 21, 2022
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11032770 FL
Certified Registered Nurse Anesthetist 367500000X 1191413 TX Primary
Critical Care Medicine Registered Nurse 163WC0200X 9338380 FL

Addresses

Primary practice location

918 NW 23Rd CT
Miami, FL 33125-3220

Mailing address

918 NW 23Rd CT
Miami, FL 33125-3220
Phone (305) 726-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240710004966 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375088669 Reassigns benefits to 2 organizations
I20260305002665 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375088669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alphonsus Professional Medical Services LLCGroup PAC ID 7214849751, 124 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

636 Del Prado Blvd
Cape Coral, FL 33990-2695
Phone (239) 424-2000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (394) 337-7992

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9338380FLMDCritical Care Medicine Registered Nurse
1191413TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 16, 2026 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 16, 2026 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Miami Beach Anesthesiology Associates Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1962151597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 NW 23RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253220",
            "telephone_number": "305-726-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 NW 23RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253220",
            "telephone_number": "305-726-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPASTAVROS",
        "first_name": "MAICKOLL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "RN, CCRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11032770",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1191413",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9338380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.