MS. AMY KOMARIN – Anesthesiologist Assistant, NPI 1790029643

MS. AMY KOMARIN is a healthcare provider. based in Tampa, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. AA151 (FL). The NPI Number for MS. AMY KOMARIN is 1790029643

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMY KOMARIN
NPI
1790029643
Phone
(941) 726-3784
Address
7036 BONAVENTURE DR
Enumeration Date
15 November 2012
Last Update Date
5 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2012 (14 years ago)
PAC ID
6204089964
Group Practice PAC ID
3173711017
Professional Enrollment ID
I20130104000355
Address ID
FL335115779BR119XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for MS. AMY KOMARIN

  • 7036 BONAVENTURE DR

    TAMPA, FL 336075814

    Phone: (941) 726-3784

    Type: Location

  • 119 OAKFIELD DRIVE

    BRANDON, FL 33511

    Phone:

    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: 2013-01-04

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
I20130104000355IAnesthesiology AssistantFLTBD

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 endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 33607)

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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: 3173711017View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)MI
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-MI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MI
-FL

Reviews

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Frequently asked questions

How do payers reference MS. AMY KOMARIN?
For MS. AMY KOMARIN, use NPI 1790029643 as the unique 10-digit identifier.
Active or inactive — what applies to MS. AMY KOMARIN?
You should see MS. AMY KOMARIN as active in CMS-hosted NPPES data.
What kind of doctor is MS. AMY KOMARIN?
MS. AMY KOMARIN is associated with Anesthesiologist Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MS. AMY KOMARIN located near Tampa?
MS. AMY KOMARIN currently maps to Tampa, Florida in this extract.
When was this NPI issued?
Enumeration for MS. AMY KOMARIN is noted as November 15, 2012 where the registry provides it.

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