KGC CRNA LLC
NPI 1609215730
Nurse Anesthetist, Certified Registered in Melbourne, FL

Q: What is Kgc Crna LLC's NPI number?

The NPI number for Kgc Crna LLC is 1609215730. It was assigned to this organization in the NPPES registry on June 21, 2013.

Q: What is Kgc Crna LLC'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 Kgc Crna LLC was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 21, 2013

3337 CAPPIO DR, MELBOURNE, FL 32940(321) 759-4460 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kgc Crna Llc NPPES

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

KGC CRNA LLC (NPI 1609215730) is a healthcare organization registered as a nurse anesthetist, certified registered in Melbourne, Florida and active in the NPI registry since June 2013. The organization lists Kandee Georgette Coppala, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1609215730

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameKGC CRNA LLC

Location Address3337 CAPPIO DRMelbourne, FL 32940-1313

Mailing AddressPo Box 410580Melbourne, FL 32941-0580

Phone(321) 759-4460

Organization SubpartNo

Authorized OfficialKandee Georgette CoppalaManager/owner · (321) 759-4460

Enumeration DateJune 21, 2013

Last NPPES UpdateJuly 19, 2013

✔ NPI 1609215730 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 · ARNP 9217913

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.

3337 CAPPIO DR, Melbourne, FL 32940

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Other Identifiers 1

Medicaid306690800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kgc Crna Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kgc Crna LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kandee Coppala, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1174637383

1304 OAK ST
Melbourne, FL 32901

(321) 723-4723

9.1 mi

Bradley Kuehn, M.D.

Anesthesiology

NPI 1225024466

1613 HARRISON PKWY
Sunrise, FL 33323

(800) 437-2672

✔ PECOS✔ Accepts Medicare144 mi

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

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 Kgc Crna LLC's NPI number?

The NPI number for Kgc Crna LLC is 1609215730. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is Kgc Crna LLC located?

Kgc Crna LLC is located at 3337 Cappio Dr, Melbourne, FL 32940. The listed phone number is (321) 759-4460.

What is Kgc Crna LLC's specialty?

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

Is Kgc Crna LLC enrolled in Medicare?

Yes. Kgc Crna LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kgc Crna LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kgc Crna LLC, in Anesthesiology and Certified Registered Nurse Anesthetist (CRNA). A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kgc Crna LLC was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.