MRS. MICHELLE LYN BUNDENTHAL (RN) – Certified Registered Nurse Anesthetist, NPI 1386908663

MRS. MICHELLE LYN BUNDENTHAL (RN) is a healthcare provider. based in Maitland, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 337639 (OH). The NPI Number for MRS. MICHELLE LYN BUNDENTHAL (RN) is 1386908663

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE LYN BUNDENTHAL (RN)
NPI
1386908663
Phone
(407) 667-0444
Address
851 TRAFALGAR CT STE 200E
Enumeration Date
1 July 2012
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073321300
Graduation Year
2012 (14 years ago)
PAC ID
1658521513
Group Practice PAC ID
9335102128
Professional Enrollment ID
I20180619001998
Address ID
FL327655529OV1255XCTRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

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

Provider Addresses for MRS. MICHELLE LYN BUNDENTHAL (RN)

  • 851 TRAFALGAR CT STE 200E

    MAITLAND, FL 327517420

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Mailing

  • 601 E ROLLINS ST

    ORLANDO, FL 32803

    Phone: (407) 667-0444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($150).

Total Amount

$421

General + Research + Ownership

Payments

5

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2018-06-19

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
I20180619001998ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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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: 9335102128View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Interventional Pain Management, Anesthesiology, Pain ManagementFL
Physical Medicine And Rehabilitation, Interventional Pain ManagementFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Interventional Pain Management, Physical Medicine And RehabilitationFL

Reviews

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Frequently asked questions

How is MRS. MICHELLE LYN BUNDENTHAL (RN) identified in CMS data?
CMS-hosted NPPES data lists MRS. MICHELLE LYN BUNDENTHAL (RN) with NPI 1386908663.
Can I rely on MRS. MICHELLE LYN BUNDENTHAL (RN) being an active provider?
As of the registry snapshot, MRS. MICHELLE LYN BUNDENTHAL (RN) is marked active.
What healthcare role does MRS. MICHELLE LYN BUNDENTHAL (RN) hold?
Scheduling teams often label MRS. MICHELLE LYN BUNDENTHAL (RN) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. MICHELLE LYN BUNDENTHAL (RN) on a map?
Expect Maitland, Florida as a primary anchor for MRS. MICHELLE LYN BUNDENTHAL (RN) unless the record lists multiple sites.
Is the information about MRS. MICHELLE LYN BUNDENTHAL (RN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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