KELLY ALISA ZIPKO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003298977
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for KELLY ALISA ZIPKO (CRNA)
4101 EVANS AVE
FORT MYERS, FL 339019310
Phone: (239) 939-3456
Fax: (239) 790-2432
Type: Location
17197 JOHNSTON DR
FORT MYERS, FL 339672528
Phone: (412) 260-4576
Type: Mailing
17197 Johnston Dr
Fort Myers, FL 339672528
Phone: (412) 260-4576
Type: Location
PO BOX 162264
ALTAMONTE SPRINGS, FL 327162264
Phone: (941) 792-2020
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150917002716 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 215 | 176 | $0 |
| 00145 | Anesthesia for retinal surgery | 59 | 53 | $0 |
| 00144 | Anesthesia for procedure on eye for corneal transplant | 43 | 40 | $0 |
| 00140 | Anesthesia for other procedure on eye | 31 | 31 | $0 |
| 67500 | Injection of drug into cavity behind eye | 27 | 27 | $0 |
Insurance plans in this area (ZIP 33901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | FL | 00142 | Anesthesia for lens surgery | 14 | 13 |
| CERTIFIED REGISTERED NURSE ANESTHET | FL | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 20 | 20 |
| CERTIFIED REGISTERED NURSE ANESTHET | FL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Anesthesiology | MI | |
| A N E S T H E S I O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Anesthesiology, Interventional Pain Management | FL | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
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