MICHAEL MACCHIARELLA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053302414

MICHAEL MACCHIARELLA (CRNA) is a healthcare provider. based in Ft myers, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9198195 (FL). The NPI Number for MICHAEL MACCHIARELLA (CRNA) is 1053302414

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MACCHIARELLA (CRNA)
NPI
1053302414
Phone
(239) 332-5344
Address
4048 EVANS AVE
Enumeration Date
3 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482656555
Graduation Year
1997 (29 years ago)
PAC ID
2365345964
Group Practice PAC ID
4486723657
Professional Enrollment ID
I20040130000500
Address ID
MI483343274FA30055HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MICHAEL MACCHIARELLA (CRNA)

  • Evans Avenue, Fort Myers, Lee County, Florida, 33901, United States

    SUITE 303

    FT MYERS, FL 339019322

    Phone: (239) 332-5344

    Fax: (239) 332-7246

    Mailing address matches the actual address.

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: 2022-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040130000500ICertified Registered Nurse Anesthetist (Crna)MITBD
I20221114000151ICertified Registered Nurse Anesthetist (Crna)NYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486723657View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I verify MICHAEL MACCHIARELLA (CRNA) with an NPI only?
You can start verification with NPI 1053302414 for MICHAEL MACCHIARELLA (CRNA), then check state licensing separately.
Does the file indicate MICHAEL MACCHIARELLA (CRNA) is practicing under active NPI?
Directory data currently reports MICHAEL MACCHIARELLA (CRNA) as active.
What taxonomy line describes MICHAEL MACCHIARELLA (CRNA)?
For research purposes, treat MICHAEL MACCHIARELLA (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does MICHAEL MACCHIARELLA (CRNA) list a practice location?
Patients near Ft Myers, Florida may find MICHAEL MACCHIARELLA (CRNA) in results; validate coverage separately.
Is the information about MICHAEL MACCHIARELLA (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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