MRS. RUTH MARIE NICASTRO CRNA
NPI 1669831210
Nurse Anesthetist, Certified Registered in New Smyrna Beach, FL

Active since February 10, 2016Accepts Medicare Assignment
78.18/100
CMS Quality Rating
4518 KATY DR, NEW SMYRNA BEACH, FL 32169(407) 403-4252 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2021, Feb 10, 2016 (2 updates tracked since 2016).

About Mrs. Ruth Marie Nicastro Crna NPPES

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

MRS. RUTH MARIE NICASTRO CRNA (NPI 1669831210) is an individual nurse anesthetist, certified registered in New Smyrna Beach, Florida, licensed in Florida (ARNP9273027) and active in the NPI registry since February 2016. She is affiliated with Adventhealth New Smyrna Beach, maintains a secondary practice location in Daytona Beach, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669831210
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. RUTH MARIE NICASTROCredential: CRNA
Location Address4518 KATY DRNew Smyrna Beach, FL 32169-4112
Mailing Address1329 Sw 16th St Rm 2232Gainesville, FL 32608-1128 · (352) 733-0485
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 10, 2016
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1669831210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · ARNP9273027✔ Licensed in FL · 9273027
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9273027 (FL)
4518 KATY DR, New Smyrna Beach, FL 32169

Secondary Practice Location 1

Location 1303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · Phone (386) 425-4000

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

Mrs. Ruth Marie Nicastro 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 ID345537692
PECOS Enrollment IDI20160929002205

Medicare Billing Reassignments

4

Medicare enrollment records show Ruth Nicastro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3635 S CLYDE MORRIS BLVD, SUITE 500
Port Orange, FL 32129
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
Ambulatory Surgical
7103 FAIRWAY DR
Palm Beach Gardens, FL 33418
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 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.

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 procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
18 services18 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32169 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
72%339 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ruth Nicastro's NPI number?

The NPI number for Ruth Nicastro is 1669831210. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Ruth Nicastro located?

Ruth Nicastro practices at 4518 Katy Dr, New Smyrna Beach, FL 32169. The listed phone number is (407) 403-4252.

What is Ruth Nicastro's specialty?

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

Is Ruth Nicastro enrolled in Medicare?

Yes. Ruth Nicastro 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 Ruth Nicastro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Nicastro reassigns Medicare benefits to 4 organizations: Amsurg Port Orange Anesthesia, LLC (Port Orange, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL), Florida Clinical Practice Association Inc (Gainesville, FL) and University Of Miami (Palm Beach Gardens, FL). 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 Ruth Nicastro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruth Nicastro accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Ruth Nicastro 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 Ruth Nicastro affiliated with any hospitals?

According to CMS data, Ruth Nicastro is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Ruth Nicastro was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.