MARY ANTOINETTE EVANGELISTA GUERRA (APRN) – Certified Registered Nurse Anesthetist, NPI 1477209666

MARY ANTOINETTE EVANGELISTA GUERRA (APRN) is a healthcare provider. based in Orlando, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN. They hold a License No. RN9485827 (FL). The NPI Number for MARY ANTOINETTE EVANGELISTA GUERRA (APRN) is 1477209666

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MARY ANTOINETTE EVANGELISTA GUERRA (APRN)
NPI
1477209666
Phone
(407) 497-0435
Address
1415 Sligh Blvd
Enumeration Date
25 February 2022
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218435851
Graduation Year
2024 (2 years ago)
PAC ID
6901344522
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20240814002513
Address ID
FL328061115OR62XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MARY ANTOINETTE EVANGELISTA GUERRA (APRN)

  • 1415 Sligh Blvd

    Orlando, FL 328063954

    Phone: (407) 497-0435

    Type: Location

  • 2635 BELLEWATER PL

    OVIEDO, FL 327655024

    Phone: (407) 497-0435

    Type: Mailing

  • 1415 SLIGH BLVD

    ORLANDO, FL 328063954

    Phone: (407) 497-0435

    Type: Location

  • 62 COLUMBIA ST

    ORLANDO, FL 328061115

    Phone: (407) 514-3668

    Fax: (321) 843-2196

    Type: Mailing

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: 2024-08-14

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
I20240814002513ICertified 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 32806)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

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Frequently asked questions

What is the registry number for MARY ANTOINETTE EVANGELISTA GUERRA (APRN)?
The registry entry for MARY ANTOINETTE EVANGELISTA GUERRA (APRN) shows NPI 1477209666.
Does the public listing show MARY ANTOINETTE EVANGELISTA GUERRA (APRN) as active?
MARY ANTOINETTE EVANGELISTA GUERRA (APRN)'s NPI record reflects an active status in NPPES.
What type of care does MARY ANTOINETTE EVANGELISTA GUERRA (APRN) provide?
MARY ANTOINETTE EVANGELISTA GUERRA (APRN)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MARY ANTOINETTE EVANGELISTA GUERRA (APRN) tied to Orlando, Florida?
If you are local to Orlando, Florida, MARY ANTOINETTE EVANGELISTA GUERRA (APRN) may be relevant to your search.
Who maintains MARY ANTOINETTE EVANGELISTA GUERRA (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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