MARTY MCCULLOUGH CRNA
NPI 1366678575
Nurse Anesthetist, Certified Registered in Palatka, FL

Q: What is Marty Mccullough's NPI number?

The NPI number for Marty Mccullough is 1366678575. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Q: What is Marty Mccullough's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marty Mccullough was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 02, 2009Accepts Medicare Assignment

611 ZEAGLER DR, PALATKA, FL 32177(386) 326-7865 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marty Mccullough Crna NPPES

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

MARTY MCCULLOUGH CRNA (NPI 1366678575) is an individual nurse anesthetist, certified registered in Palatka, Florida, licensed in Florida (ARNP3323342) and active in the NPI registry since June 2009. He is affiliated with Hca Florida Putnam Hospital and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366678575

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMARTY MCCULLOUGHCredential: CRNA

Location Address611 ZEAGLER DRPalatka, FL 32177-3810

Mailing AddressPo Box 3123St Augustine, FL 32085-3123 · (904) 824-4990 · Fax (904) 824-2226

Phone(386) 326-7865

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJune 2, 2009

Last NPPES UpdateFebruary 14, 2011

✔ NPI 1366678575 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 · ARNP3323342

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.

611 ZEAGLER DR, Palatka, FL 32177

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Other Identifiers 3

OtherG00CFFL · Bcbs

Medicaid002134100FL

Medicare PINDF898ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Marty Mccullough 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 ID5496887085

PECOS Enrollment IDI20100716000770

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

62 services59 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100232

Location611 Zeagler DrPalatka, FL 32177 · Putnam County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 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.

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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.

BEATRICE DENISE ARMSTRONG RPH

Pharmacist