KATHLEEN M TAVARES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1588630248

KATHLEEN M TAVARES (CRNA) is a healthcare provider. based in Stuart, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 138437 (MA). The NPI Number for KATHLEEN M TAVARES (CRNA) is 1588630248

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN M TAVARES (CRNA)
NPI
1588630248
Phone
(772) 223-2300
Address
200 SE HOSPITAL AVE
Enumeration Date
23 February 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722875200
Graduation Year
1992 (34 years ago)
PAC ID
8628151073
Group Practice PAC ID
2567600588
Professional Enrollment ID
I20130523000436
Address ID
FL349942346ST200XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

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Provider Addresses for KATHLEEN M TAVARES (CRNA)

  • Martin Medical Center, 200, Southeast Hospital Avenue, Stuart, Martin County, Florida, 34995, United States

    STUART, FL 349942346

    Phone: (772) 223-2300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-03-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$23
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: 2013-05-23

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
I20130523000436ICertified 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
01610Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm2727$0
00400Anesthesia for other procedure on skin of arms, legs, and front body1717$0
View full utilization report →

Insurance plans in this area (ZIP 34994)

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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: 2567600588View full group profile
NameSpecialtyState
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YFL
-NY
Certified Registered Nurse Anesthetist (Crna)FL
-MA
Certified Registered Nurse Anesthetist (Crna)FL
-OH

Reviews

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Frequently asked questions

How do I look up KATHLEEN M TAVARES (CRNA) by NPI?
Use NPI 1588630248 when you need to reference KATHLEEN M TAVARES (CRNA) in forms, claims, or directories.
Is KATHLEEN M TAVARES (CRNA) active in the national directory?
KATHLEEN M TAVARES (CRNA)'s public NPI profile is in an active state.
What kind of provider is KATHLEEN M TAVARES (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for KATHLEEN M TAVARES (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for KATHLEEN M TAVARES (CRNA)?
We surface Stuart, Florida for KATHLEEN M TAVARES (CRNA) based on available NPPES addresses.
How can I contact KATHLEEN M TAVARES (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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