JENNIFER D DEL BAGNO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104852755

JENNIFER D DEL BAGNO (CRNA) is a healthcare provider. based in Fort lauderdale, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R086149 (GA). The NPI Number for JENNIFER D DEL BAGNO (CRNA) is 1104852755

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER D DEL BAGNO (CRNA)
NPI
1104852755
Phone
(800) 243-3839
Address
PO BOX 551420
Enumeration Date
24 June 2006
Last Update Date
4 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783126800
Graduation Year
1984 (42 years ago)
PAC ID
0547398190
Group Practice PAC ID
5496134348
Professional Enrollment ID
I20100503000485
Address ID
GA300963178DU3620XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for JENNIFER D DEL BAGNO (CRNA)

  • PO BOX 551420

    FORT LAUDERDALE, FL 333551420

    Phone: (800) 243-3839

    Fax: (954) 839-2569

    Type: Mailing

  • Gwinnett Medical Center, 1000, Medical Center Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States of America

    LAWRENCEVILLE, GA 300460000

    Phone: (770) 277-3056

    Fax: (855) 204-5244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($23).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-05-03

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
I20100503000485ICertified Registered Nurse Anesthetist (Crna)GATBD

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 33355)

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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: 5496134348View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
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 YGA

Reviews

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Frequently asked questions

How is JENNIFER D DEL BAGNO (CRNA) identified in CMS data?
CMS-hosted NPPES data lists JENNIFER D DEL BAGNO (CRNA) with NPI 1104852755.
Can I rely on JENNIFER D DEL BAGNO (CRNA) being an active provider?
As of the registry snapshot, JENNIFER D DEL BAGNO (CRNA) is marked active.
What is JENNIFER D DEL BAGNO (CRNA)'s specialty?
The listing groups JENNIFER D DEL BAGNO (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JENNIFER D DEL BAGNO (CRNA) list a practice location?
Patients near Fort Lauderdale, Florida may find JENNIFER D DEL BAGNO (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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