KACI JO BOLLINGER CRNA
NPI 1396483459
Nurse Anesthetist, Certified Registered in St Petersburg, FL
About Kaci Jo Bollinger Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACI JO BOLLINGER CRNA (NPI 1396483459) is an individual nurse anesthetist, certified registered in St Petersburg, Florida, licensed in Florida (11019663) and active in the NPI registry since May 2022. She is affiliated with Black Hills Surgical Hospital Llp, maintains a secondary practice location in Fort Lauderdale, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Kaci Jo Bollinger 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 Kaci Bollinger reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Petersburg, FL 33701
- Reassigned Medicare billing, Florida enrollment
- 1,973 clinicians in this Medicare group
Saint Petersburg, FL 33701
- Reassigned Medicare billing, Florida enrollment
- 749 clinicians in this Medicare group
Clearwater, FL 33763
- Reassigned Medicare billing, Florida enrollment
- 64 clinicians in this Medicare group
Orlando, FL 32806
- Reassigned Medicare billing, Florida enrollment
- 3,290 clinicians in this Medicare group
Rapid City, SD 57703
- Reassigned Medicare billing, South Dakota enrollment
- 161 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.
Black Hills Surgical Hospital LLP
Acute Care Hospitals · Rapid City, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33701 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
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 Kaci Bollinger's NPI number?
The NPI number for Kaci Bollinger is 1396483459. It was assigned to this individual provider in the NPPES registry on May 26, 2022.
Where is Kaci Bollinger located?
Kaci Bollinger practices at 701 6th St S, St Petersburg, FL 33701. The listed phone number is (321) 841-2335.
What is Kaci Bollinger's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kaci Bollinger enrolled in Medicare?
Yes. Kaci Bollinger 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 Kaci Bollinger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaci Bollinger reassigns Medicare benefits to 5 organizations: Sheridan Healthcorp, Inc (St Petersburg, FL), Greater Florida Anesthesiologists LLC (Saint Petersburg, FL), Healthcare Career Services LLC (Clearwater, FL), Orlando Health Medical Group Inc (Orlando, FL) and Black Hills Surgical Hospital, LLP (Rapid City, SD). 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 Kaci Bollinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaci Bollinger accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Wellmark of South Dakota, Inc. list Kaci Bollinger 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 Kaci Bollinger affiliated with any hospitals?
According to CMS data, Kaci Bollinger is affiliated with Black Hills Surgical Hospital LLP.
When was this NPI record last updated?
The NPPES record for Kaci Bollinger was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Kaci Jo Bollinger, CRNA · NPI 1396483459
Nurse Anesthetist, Certified Registered physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since May 26, 2022.
## Identity
- **NPI:** 1396483459 (Entity type: Individual)
- **Enumerated:** May 26, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 11019663 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 6TH ST S, St Petersburg, FL 33701-4891
- **Phone:** (321) 841-2335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sheridan Healthcorp, Inc (NPI 1295409696, St Petersburg, FL); Greater Florida Anesthesiologists LLC (NPI 1558037531, Saint Petersburg, FL); Healthcare Career Services LLC (NPI 1790447910, Clearwater, FL); Orlando Health Medical Group Inc (NPI 1669429577, Orlando, FL); Black Hills Surgical Hospital, LLP (NPI 1417304924, Rapid City, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 3, 2025
- **Other identifiers:** Medicaid 115122300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1396483459) · Data from the CMS NPPES public registry.