GINA T WILLAFORD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073804365

GINA T WILLAFORD (CRNA) is a healthcare provider. based in Fort myers, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 9219668 (FL). The NPI Number for GINA T WILLAFORD (CRNA) is 1073804365

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
GINA T WILLAFORD (CRNA)
NPI
1073804365
Phone
(239) 332-5344
Address
4048 EVANS AVE
Enumeration Date
21 April 2011
Last Update Date
21 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393432000
Graduation Year
2011 (15 years ago)
PAC ID
3274707112
Group Practice PAC ID
0345143152
Professional Enrollment ID
I20111110000837
Address ID
FL339015864FO2776XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

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

Provider Addresses for GINA T WILLAFORD (CRNA)

  • 4048 EVANS AVE

    STE 303

    FORT 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)

CMS reports 1 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($158).

Total Amount

$158

General + Research + Ownership

Payments

1

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MERZ NORTH AMERICA, INC.$158
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: 2011-11-10

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
I20111110000837ICertified 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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance3332$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1818$0
01937Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance1111$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Provider's Procedures

GINA T WILLAFORD (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETFL00790Anesthesia for procedure in upper abdomen including use of an endoscope2727

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: 0345143152View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for GINA T WILLAFORD (CRNA)?
GINA T WILLAFORD (CRNA) — NPI 1073804365 — is the standard way to identify this listing.
Does CMS list GINA T WILLAFORD (CRNA) as active?
Yes — GINA T WILLAFORD (CRNA) is active in the NPI listing used on this page.
What is GINA T WILLAFORD (CRNA) best known for clinically?
Directory data describes GINA T WILLAFORD (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does GINA T WILLAFORD (CRNA) serve?
GINA T WILLAFORD (CRNA)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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