Individual provider Active NPI

Heather Michelle Mellish, CRNA

  • Certified Registered Nurse Anesthetist
  • Bradenton, FL
National Provider Identifier
1962919738
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9336794 Issued in FL
Practice address
2020 59TH St W
Bradenton, FL 34209-4604
Phone
(941) 792-6611
NPI assigned
Jan 3, 2018
Last updated
Jan 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9336794 FL Primary

Addresses

Primary practice location

2020 59TH St W
Bradenton, FL 34209-4604

Mailing address

4630 Helena St NE
St Petersburg, FL 33703-4358
Phone (813) 951-0600

Other identifiers 1

IdentifierTypeStateIssuer
023548600MedicaidFL

Other names 1

  • Heather Michelle Rasmussen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180124001586 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709145568 Reassigns benefits to 10 organizations
I20220919001307 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709145568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Physicians of Florida, PAGroup PAC ID 7911804687, 25 clinicians
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

100 3Rd Ave W
Suite 110
Bradenton, FL 34205-8641
Phone 9417059555110

1109 US Hwy 19
Holiday, FL 34691-5638
Phone (727) 934-5705

401 Corbett St
Suite 220
Belleair, FL 33756-7302
Phone (727) 443-0100

9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 834-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9336794FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 1, 2023 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince May 28, 2022 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince May 28, 2022 Accepting new patients
Pinellas County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Amsurg Tampa Bay Anesthesia LLC CurrentSince Jul 23, 2019 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2024 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA CurrentSince Feb 26, 2025 Accepting new patients
West Florida Trauma Network, LLC PastSince Jan 20, 2019 Accepting new patients

Locations (25 of 37)

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

100 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 705-9555

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

8000 State Road 64 E
Ste 205
Bradenton, FL 34212
Phone (727) 203-5114

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

300 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7009

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (321) 939-3300

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1962919738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 HELENA ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034358",
            "telephone_number": "813-951-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604",
            "telephone_number": "941-792-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLISH",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9336794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023548600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "RASMUSSEN",
            "middle_name": "MICHELLE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

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

Verify at the official NPI Registry.