ANITA MEDOLLA (APRN CRNA) – Certified Registered Nurse Anesthetist, NPI 1245829902

ANITA MEDOLLA (APRN CRNA) is a healthcare provider. based in Palm city, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN CRNA. They hold a License No. 11039849 (FL). The NPI Number for ANITA MEDOLLA (APRN CRNA) is 1245829902

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ANITA MEDOLLA (APRN CRNA)
NPI
1245829902
Phone
(631) 896-8816
Address
1429 SW SEAHAWK WAY
Enumeration Date
15 January 2021
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2025 (1 year ago)
PAC ID
8527579226
Group Practice PAC ID
0547348211
Professional Enrollment ID
I20250618003987
Address ID
FL334587205JU1210XHWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

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

Provider Addresses for ANITA MEDOLLA (APRN CRNA)

  • 1429 SW SEAHAWK WAY

    PALM CITY, FL 349904249

    Phone: (631) 896-8816

    Type: Mailing

  • 9123 N MILITARY TRL

    PALM BEACH GARDENS, FL 334105990

    Phone: (561) 622-9300

    Type: Location

  • 2046 NW ESTUARY CT

    STUART, FL 349948808

    Phone:

    Type: Mailing

  • 800 PRUDENTIAL DR

    JACKSONVILLE, FL 322078211

    Phone: (904) 202-2000

    Type: Location

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: 2025-06-18

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
I20250618003987ICertified 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.

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

Insurance plans in this area (ZIP 34990)

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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: 0547348211View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NJ
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
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)NY

Reviews

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Frequently asked questions

What unique ID ties claims to ANITA MEDOLLA (APRN CRNA)?
NPI 1245829902 is assigned to ANITA MEDOLLA (APRN CRNA) under the national enumeration system.
Is ANITA MEDOLLA (APRN CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANITA MEDOLLA (APRN CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for ANITA MEDOLLA (APRN CRNA). Clinical services aligned with this taxonomy classification.
Does ANITA MEDOLLA (APRN CRNA) practice in Florida?
You will see Palm City, Florida on file for ANITA MEDOLLA (APRN CRNA) alongside any extra practice locations.
Is ANITA MEDOLLA (APRN CRNA) a real provider?
This page reflects official NPPES data for NPI 1245829902. Always confirm identity and privileges with the practice and licensing boards.

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