DUSTIN DOLL SHULTZ CRNA
NPI 1043964190
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since February 08, 2022Accepts Medicare Assignment
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612(727) 825-1100 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin Doll Shultz Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN DOLL SHULTZ CRNA (NPI 1043964190) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (RN9377253) and active in the NPI registry since February 2022. He is affiliated with St Anthonys Hospital and is a graduate of University Of South Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1043964190
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDUSTIN DOLL SHULTZCredential: CRNA
Location Address12901 BRUCE B DOWNS BLVDTampa, FL 33612-4742
Mailing Address3761 18th Ave NSaint Petersburg, FL 33713-4815 · (727) 410-0002
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2019
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1043964190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in FL · RN9377253
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

12901 BRUCE B DOWNS BLVD, Tampa, FL 33612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dustin Doll Shultz 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.

PECOS PAC ID9537549332
PECOS Enrollment IDI20220711003459

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
12901 BRUCE B DOWNS BLVD, MDC 41
TAMPA, FL 33612
Pediatrics (Pediatric Endocrinology)
12901 BRUCE B DOWNS BLVD, MDC 15
TAMPA, FL 33612
Obstetrics & Gynecology
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Psychiatry & Neurology (Psychiatry)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Specialist/Technologist (Athletic Trainer)
12901 BRUCE B DOWNS BLVD, MDC 77
TAMPA, FL 33612
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Dermatology
12901 BRUCE B DOWNS BLVD, MDC 79
TAMPA, FL 33612
Dietitian, Registered
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612

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 Dustin Doll Shultz's NPI number?

The NPI number for Dustin Doll Shultz is 1043964190. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Dustin Doll Shultz located?

Dustin Doll Shultz practices at 12901 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (727) 825-1100.

What is Dustin Doll Shultz's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dustin Doll Shultz enrolled in Medicare?

Yes. Dustin Doll Shultz 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.

Is Dustin Doll Shultz affiliated with any hospitals?

According to CMS data, Dustin Doll Shultz is affiliated with St Anthonys Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Doll Shultz was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.