CARLY PROVAN CRNA
NPI 1003675992
Nurse Anesthetist, Certified Registered in Bradenton, FL
About Carly Provan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY PROVAN CRNA (NPI 1003675992) is an individual nurse anesthetist, certified registered in Bradenton, Florida, licensed in Florida (RN9514153) and active in the NPI registry since March 2024. She is affiliated with Hca Florida Blake Hospital and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carly Provan Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Carly Provan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Sarasota, FL 34232
- Reassigned Medicare billing, Florida enrollment
- 48 clinicians in this Medicare group
Naples, FL 34119
- Reassigned Medicare billing, Florida enrollment
- 767 clinicians in this Medicare group
Orange Park, FL 32003
- Reassigned Medicare billing, Florida enrollment
- 876 clinicians in this Medicare group
Charlotte, NC 28262
- Reassigned Medicare billing, North Carolina enrollment
- 1,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Blake Hospital
Acute Care Hospitals · Bradenton, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRADENTON, FL 34212
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Provan's NPI number?
The NPI number for Carly Provan is 1003675992. It was assigned to this individual provider in the NPPES registry on March 14, 2024.
Where is Carly Provan located?
Carly Provan practices at 8000 State Road 64 E, Bradenton, FL 34212. The listed phone number is (941) 792-1404.
What is Carly Provan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Carly Provan enrolled in Medicare?
Yes. Carly Provan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carly Provan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Provan reassigns Medicare benefits to 5 organizations: Anesthesia Dynamics LLC (Bradenton, FL), Aurora Anesthesia LLC (Sarasota, FL), Capital Anesthesia Solutions Of Florida II, LLC (Naples, FL), Fleming Island Anesthesia LLC (Orange Park, FL) and Chs Anesthesia Services Group Inc (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Provan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carly Provan affiliated with any hospitals?
According to CMS data, Carly Provan is affiliated with Hca Florida Blake Hospital.
When was this NPI record last updated?
The NPPES record for Carly Provan was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carly Provan, CRNA · NPI 1003675992
Nurse Anesthetist, Certified Registered physician in Bradenton, Florida. Individual provider, active in the CMS NPPES registry since March 14, 2024.
## Identity
- **NPI:** 1003675992 (Entity type: Individual)
- **Enumerated:** March 14, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN9514153 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 8000 STATE ROAD 64 E, Bradenton, FL 34212-7703
- **Phone:** (941) 792-1404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); Aurora Anesthesia LLC (NPI 1770336299, Sarasota, FL); Capital Anesthesia Solutions Of Florida II, LLC (NPI 1891318481, Naples, FL); Fleming Island Anesthesia LLC (NPI 1487945895, Orange Park, FL); Chs Anesthesia Services Group Inc (NPI 1346649415, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003675992) · Data from the CMS NPPES public registry.