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MISS GINA FASOLO CRNA
NPI 1730650698
Nurse Anesthetist, Certified Registered in Fort Lauderdale, FL

Active since December 17, 2018Accepts Medicare Assignment
1525 W CYPRESS CREEK ROAD, FORT LAUDERDALE, FL 33309(201) 615-6601 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Mar 31, 2026, Apr 10, 2025 and 2 more (5 updates tracked since 2018).

About Miss Gina Fasolo Crna NPPES

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

MISS GINA FASOLO CRNA (NPI 1730650698) is an individual nurse anesthetist, certified registered in Fort Lauderdale, Florida, licensed in Florida (APRN11007198) and active in the NPI registry since December 2018. She is affiliated with Broward Health Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730650698
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMISS GINA FASOLOCredential: CRNA
Location Address1525 W CYPRESS CREEK ROADFort Lauderdale, FL 33309
Mailing Address10 North StElmwood Park, NJ 07407-2246 · (201) 615-6601
Phone(201) 615-6601
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateApril 14, 20265 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1730650698 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
Licenses✔ Licensed in FL · APRN11007198✔ Licensed in NY · 647022
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.
1525 W CYPRESS CREEK ROAD, Fort Lauderdale, FL 33309
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1355 Bard AveStaten Island, NY 10310-1699 · Phone (718) 818-1234
Location 2301 Prospect AveSyracuse, NY 13203-1807 · Phone (315) 448-5111

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

Miss Gina Fasolo 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 ID8123368594
PECOS Enrollment IDI20190321000950, I20230809000032

Hospital Affiliations CMS Care Compare

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

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100039
Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33309 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW JUMP CAA
Anesthesiologist Assistant
1525 W CYPRESS CREEK ROAD
FORT LAUDERDALE, FL 33309
Broward County (844) 248-4320
KIMBERLEE JOY BISHOP DNP, APRN, CRNA
Nurse Anesthetist, Certified Registered
1525 W CYPRESS CREEK ROAD
FORT LAUDERDALE, FL 33309
Broward County (850) 385-0144
DR. REZA VOOSOUGHI MD
Anesthesiology
1525 W CYPRESS CREEK ROAD
FORT LAUDERDALE, FL 33309
Broward County (954) 939-5000

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 Gina Fasolo's NPI number?

The NPI number for Gina Fasolo is 1730650698. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Gina Fasolo located?

Gina Fasolo practices at 1525 W Cypress Creek Road, Fort Lauderdale, FL 33309. The listed phone number is (201) 615-6601.

What is Gina Fasolo's specialty?

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

Is Gina Fasolo enrolled in Medicare?

Yes. Gina Fasolo 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.

Is Gina Fasolo affiliated with any hospitals?

According to CMS data, Gina Fasolo is affiliated with Broward Health Medical Center.

When was this NPI record last updated?

The NPPES record for Gina Fasolo was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.