KATELYN MULLANEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063043388

KATELYN MULLANEY (CRNA) is a healthcare provider. based in St petersburg, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 129776 (FL). The NPI Number for KATELYN MULLANEY (CRNA) is 1063043388

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN MULLANEY (CRNA)
NPI
1063043388
Phone
(500) 846-8427
Address
5236 38TH ST S
Enumeration Date
27 January 2020
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273811000
Graduation Year
2019 (7 years ago)
PAC ID
8527496355
Group Practice PAC ID
8123434792
Professional Enrollment ID
I20200311000802
Address ID
FL337073717SO1501XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KATELYN MULLANEY (CRNA)

  • 5236 38TH ST S

    ST PETERSBURG, FL 337114828

    Phone: (500) 846-8427

    Type: Mailing

  • 1501 PASADENA AVE S

    SOUTH PASADENA, FL 337073717

    Phone: (727) 381-1000

    Type: Location

  • 6002 Pointe West Blvd

    Bradenton, FL 342095531

    Phone: (941) 792-2020

    Type: Location

  • 701 6th St S

    Saint Petersburg, FL 337014814

    Phone: (321) 841-2335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$35
View all Open Payments →|Open Payments Risk Radar →

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: 2020-03-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200311000802ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery5547$0
View full utilization report →

Insurance plans in this area (ZIP 33711)

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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: 8123434792View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Anesthesiology, Critical Care (Intensivists)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Can I verify KATELYN MULLANEY (CRNA) with an NPI only?
You can start verification with NPI 1063043388 for KATELYN MULLANEY (CRNA), then check state licensing separately.
Does the file indicate KATELYN MULLANEY (CRNA) is practicing under active NPI?
Directory data currently reports KATELYN MULLANEY (CRNA) as active.
What is KATELYN MULLANEY (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for KATELYN MULLANEY (CRNA) here. Clinical services aligned with this taxonomy classification.
Does KATELYN MULLANEY (CRNA) list a practice location?
Patients near St Petersburg, Florida may find KATELYN MULLANEY (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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