MISTY C ALLEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1306872387

MISTY C ALLEN (CRNA) is a healthcare provider. based in Leesburg, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-047642 (AL). The NPI Number for MISTY C ALLEN (CRNA) is 1306872387

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MISTY C ALLEN (CRNA)
NPI
1306872387
Phone
(352) 326-4014
Address
PO BOX 490210
Enumeration Date
23 June 2006
Last Update Date
1 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522913000
Graduation Year
1997 (29 years ago)
PAC ID
6709985799
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20070615000005
Address ID
FL344745708OC4600XCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for MISTY C ALLEN (CRNA)

  • Tally Box Road, Leesburg, Lake County, Florida, 34748, United States

    LEESBURG, FL 347490210

    Phone: (352) 326-4014

    Type: Mailing

  • 2862, West Main Street, Montclair, Leesburg, Lake County, Florida, 34748, United States

    LEESBURG, FL 347484631

    Phone: (352) 326-4014

    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: 2007-06-15

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
I20070615000005ICertified 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
01400Anesthesia for other procedure or exam of knee joint using an endoscope1313$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1212$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint1111$0
View full utilization report →

Insurance plans in this area (ZIP 34749)

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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: 3173429693View full group profile
NameSpecialtyState
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
-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
-FL

Reviews

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Frequently asked questions

What is the standard ID for MISTY C ALLEN (CRNA) in the U.S.?
In the U.S., MISTY C ALLEN (CRNA) is identified by NPI 1306872387.
Is MISTY C ALLEN (CRNA)'s NPI status active today?
Active status means MISTY C ALLEN (CRNA)'s NPI record is not deactivated in the public file.
What type of care does MISTY C ALLEN (CRNA) provide?
MISTY C ALLEN (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MISTY C ALLEN (CRNA)?
MISTY C ALLEN (CRNA) shows a connection to Leesburg, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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