CASSANDRA NICOLE LIST – Certified Registered Nurse Anesthetist, NPI 1649700907

CASSANDRA NICOLE LIST is a healthcare provider. based in Coral springs, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9463521 (FL). The NPI Number for CASSANDRA NICOLE LIST is 1649700907

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA NICOLE LIST
NPI
1649700907
Phone
(954) 376-1709
Address
10968 NW 3RD ST
Enumeration Date
19 June 2017
Last Update Date
5 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545875010
Graduation Year
2017 (9 years ago)
PAC ID
1355607243
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20171109000359
Address ID
FL333172835PL401XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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

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Provider Addresses for CASSANDRA NICOLE LIST

  • 10968, Northwest 3rd Street, Coral Springs, Broward County, Florida, 33071, United States

    CORAL SPRINGS, FL 330718116

    Phone: (954) 376-1709

    Type: Mailing

  • Bethesda Hospital East, 2815, South Seacrest Boulevard, Chapel Hill, Boynton Beach, Palm Beach County, Florida, 33435, United States

    BOYNTON BEACH, FL 334357969

    Phone: (561) 292-4663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $779.

Total Amount is formed as General ($779) + Research ($0) + Ownership ($0) = $779.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: ABBVIE INC. ($666).

Total Amount

$779

General + Research + Ownership

Payments

13

Total payment records

General Amount

$779

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

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: 2017-11-09

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
I20171109000359ICertified 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
00142Anesthesia for lens surgery137111$0
View full utilization report →

Insurance plans in this area (ZIP 33071)

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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 federal number belongs to CASSANDRA NICOLE LIST?
The federal identifier for CASSANDRA NICOLE LIST is NPI 1649700907.
Is CASSANDRA NICOLE LIST's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize CASSANDRA NICOLE LIST's specialty in plain language?
Clinically, the directory lists CASSANDRA NICOLE LIST with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does CASSANDRA NICOLE LIST practice in Florida?
You will see Coral Springs, Florida on file for CASSANDRA NICOLE LIST alongside any extra practice locations.
What if Coral Springs, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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