MISTY DAWN AUDETTE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043631245

MISTY DAWN AUDETTE (CRNA) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9246192 (FL). The NPI Number for MISTY DAWN AUDETTE (CRNA) is 1043631245

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MISTY DAWN AUDETTE (CRNA)
NPI
1043631245
Phone
(352) 265-0077
Address
PO BOX 13833
Enumeration Date
16 December 2013
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Secondary Phone
9549395000
Graduation Year
2013 (13 years ago)
PAC ID
6709017668
Group Practice PAC ID
3476446014
Professional Enrollment ID
I20140319000553
Address ID
FL323084697TA2629XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:12State licenses:4Digital endpointsOther names

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

Provider Addresses for MISTY DAWN AUDETTE (CRNA)

  • PO BOX 13833

    PHILADELPHIA, PA 191013833

    Phone: (352) 265-0077

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0077

    Type: Location

  • 10415 Wallace Alley St

    Kingsport, TN 376633936

    Phone: (423) 968-4050

    Type: Location

  • 1600 SW Archer Rd

    Gainesville, FL 326103003

    Phone: (352) 265-0077

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone:

    Type: Mailing

  • 1906 BELLEVIEW AVE SE

    ROANOKE, VA 240141838

    Phone: (540) 853-0222

    Fax: (540) 981-7855

    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: 2026-02-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140319000553ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20180320002898ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20230329000191ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20230921001097ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20240314000213ICertified Registered Nurse Anesthetist (Crna)METBD
I20260210000285ICertified Registered Nurse Anesthetist (Crna)VATBD

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 endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 19101)

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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: 3476446014View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
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

Reviews

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Frequently asked questions

Does MISTY DAWN AUDETTE (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MISTY DAWN AUDETTE (CRNA) uses 1043631245.
Does the file indicate MISTY DAWN AUDETTE (CRNA) is practicing under active NPI?
Directory data currently reports MISTY DAWN AUDETTE (CRNA) as active.
What taxonomy line describes MISTY DAWN AUDETTE (CRNA)?
For research purposes, treat MISTY DAWN AUDETTE (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does MISTY DAWN AUDETTE (CRNA) list a practice location?
Patients near Philadelphia, Pennsylvania may find MISTY DAWN AUDETTE (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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