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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

3

Medicare enrollment records show Marty Mccullough reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Group Services PA
32 mi
Family Medicine
1689 EAGLE HARBOR PKWY STE A
Fleming Island, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 136 clinicians in this Medicare group
NPI 1699138362 (904) 269-1366
Gulf-To-Bay Anesthesiology Associates LLC
94 mi
Anesthesiology
13100 FORT KING RD
Dade City, FL 33525
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
NPI 1982932562 (813) 844-4434
Northstar Anesthesia Of Florida LLC
931 mi
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
NPI 1568056166 (214) 687-0497

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 326-8450
VARUN THOMAS M.D.
Internal Medicine
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-5711
MR. MARK SALVATORE RITCHIE PA-C
Physician Assistant
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-5711
KATHERINE MARTIN CRNA
Nurse Anesthetist, Certified Registered
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-5711
KAY W FELLOWS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-5711
RURAL HEALTH CARE INCORPORATED
General Practice
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-0108
DR. JESUS RAMON NEGRON GIUSTI MD
Internal Medicine
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 328-5711
PUTNAM PHYSICIAN PRACTICES, LLC
Internal Medicine (Gastroenterology)
611 ZEAGLER DR
PALATKA, FL 32177
Putnam County (386) 326-7793

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 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.

Where is Marty Mccullough located?

Marty Mccullough practices at 611 Zeagler Dr, Palatka, FL 32177. The listed phone number is (386) 326-7865.

What is Marty Mccullough's specialty?

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

Is Marty Mccullough enrolled in Medicare?

Yes. Marty Mccullough 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 Marty Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marty Mccullough reassigns Medicare benefits to 3 organizations: Physicians Group Services PA (Fleming Island, FL), Gulf-To-Bay Anesthesiology Associates LLC (Dade City, FL) and Northstar Anesthesia Of Florida LLC (Irving, TX). 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 Marty Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marty Mccullough accept?

Health plans from Oscar Health Maintenance Organization of Florida list Marty Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marty Mccullough affiliated with any hospitals?

According to CMS data, Marty Mccullough is affiliated with Hca Florida Putnam Hospital.

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.