COLLIN BODGE RADCLIFFE (ARNP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1760918650
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
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Provider Addresses for COLLIN BODGE RADCLIFFE (ARNP, CRNA)
10140, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322560532
Phone: (904) 697-4100
Fax: (904) 697-5102
Type: Mailing
Nemours Children's Hospital, 13535, Nemours Parkway, Medical City, Orlando, Orange County, Florida, 32827, United States
ORLANDO, FL 328277402
Phone: (407) 567-4000
Fax: (407) 567-5924
Type: Location
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: 2026-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170705003074 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20220328002225 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
| I20231204002323 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20231221000290 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
| I20240325000970 | I | Certified Registered Nurse Anesthetist (Crna) | NY | TBD |
| I20260129002701 | I | Certified Registered Nurse Anesthetist (Crna) | PA | TBD |
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.
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 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | DE | |
| - | VA |
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