TAYLOR LEE BROCUGLIO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962177865

TAYLOR LEE BROCUGLIO (CRNA) is a healthcare provider. based in Portsmouth, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 0024182367 (VA). The NPI Number for TAYLOR LEE BROCUGLIO (CRNA) is 1962177865

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR LEE BROCUGLIO (CRNA)
NPI
1962177865
Phone
(757) 953-3238
Address
620 JOHN PAUL JONES CIR STE 275
Enumeration Date
12 August 2021
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2522093610
Graduation Year
2021 (5 years ago)
PAC ID
2961896204
Group Practice PAC ID
9739092727
Professional Enrollment ID
I20230202000361
Address ID
NC279103248AH500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA

Provider Addresses for TAYLOR LEE BROCUGLIO (CRNA)

  • 620 JOHN PAUL JONES CIR STE 275

    PORTSMOUTH, VA 237082197

    Phone: (757) 953-3238

    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)

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: 2025-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20220302000619ICertified Registered Nurse Anesthetist (Crna)VATBD
I20230202000361ICertified Registered Nurse Anesthetist (Crna)NCTBD
I20230530002735ICertified Registered Nurse Anesthetist (Crna)DCTBD
I20251203000069ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23708)

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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: 9739092727View full group profile
NameSpecialtyState
-NC
Anesthesiology, Pain ManagementNC
A N E S T H E S I O L O G YVA
Anesthesiology, Pain Management, Interventional Pain ManagementNC
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)NC
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 YMA
-NC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

Is TAYLOR LEE BROCUGLIO (CRNA) listed with a National Provider Identifier?
Yes — TAYLOR LEE BROCUGLIO (CRNA) has NPI 1962177865 on file in the registry.
Is TAYLOR LEE BROCUGLIO (CRNA) shown as active in public data?
Registry records indicate TAYLOR LEE BROCUGLIO (CRNA) maintains an active NPI.
What expertise is attributed to TAYLOR LEE BROCUGLIO (CRNA)?
TAYLOR LEE BROCUGLIO (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with TAYLOR LEE BROCUGLIO (CRNA)?
Directory geography for TAYLOR LEE BROCUGLIO (CRNA) centers on Portsmouth, Virginia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.