NICOLE GREENLEE – Certified Registered Nurse Anesthetist, NPI 1417466558

NICOLE GREENLEE is a healthcare provider. based in St petersburg, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9405091 (FL). The NPI Number for NICOLE GREENLEE is 1417466558

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE GREENLEE
NPI
1417466558
Phone
(727) 210-8104
Address
1200 7th Ave N
Enumeration Date
20 September 2017
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083672152
Graduation Year
2017 (9 years ago)
PAC ID
9537420823
Group Practice PAC ID
7214849751
Professional Enrollment ID
I20231109002262
Address ID
ID837061309BO1055XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:8State licenses:3Digital endpointsOther names

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

Provider Addresses for NICOLE GREENLEE

  • 1200 7th Ave N

    St Petersburg, FL 337051300

    Phone: (727) 210-8104

    Type: Location

  • 1261 S Tamiami Trl

    Sarasota, FL 342392219

    Phone: (941) 366-1164

    Type: Location

  • 1055 N Curtis Rd

    Boise, ID 837061309

    Phone: (208) 367-6416

    Type: Location

  • 1910, Seffner Valrico Road, Brandon, Hillsborough County, Florida, 33584, United States

    SEFFNER, FL 335845872

    Phone:

    Type: Mailing

  • St. Anthony's Hospital, 1200, 7th Avenue North, Methodist Town, Saint Petersburg, Pinellas County, Florida, 33713, United States

    ST PETERSBURG, FL 337051300

    Phone: (727) 210-8104

    Type: Location

  • 1 MEDICAL CENTER DR

    LEBANON, NH 037561000

    Phone: (603) 650-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$32
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: 2023-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20180301001047ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20221010002329ICertified Registered Nurse Anesthetist (Crna)NHTBD
I20230309001557ICertified Registered Nurse Anesthetist (Crna)DCTBD
I20230711001044ICertified Registered Nurse Anesthetist (Crna)VATBD
I20231109002262ICertified Registered Nurse Anesthetist (Crna)IDTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2525$0
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 33705)

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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: 7214849751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)HI
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YID
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I cross-check NICOLE GREENLEE using NPI 1417466558?
NPI 1417466558 belongs to NICOLE GREENLEE; compare other details if you need extra assurance.
Is NICOLE GREENLEE shown as active in public data?
Registry records indicate NICOLE GREENLEE maintains an active NPI.
What area of care is associated with NICOLE GREENLEE?
NICOLE GREENLEE's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is NICOLE GREENLEE associated with St Petersburg?
Public fields place NICOLE GREENLEE around St Petersburg, Florida. Always confirm the exact site before visiting.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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