MELISSA PENA VIDAL CRNA
NPI 1942570437
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since December 30, 2011Accepts Medicare Assignment
3909 SWISS AVE, APT 203, DALLAS, TX 75204(787) 307-1422 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa Pena Vidal Crna NPPES

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

MELISSA PENA VIDAL CRNA (NPI 1942570437) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (809325) and active in the NPI registry since December 2011. She maintains a secondary practice location in Orange City and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942570437
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMELISSA PENA VIDALCredential: CRNA
Location Address3909 SWISS AVE, APT 203Dallas, TX 75204-6411
Mailing Address3909 Swiss Ave, Box 463Dallas, TX 75204-6411 · (787) 307-1422
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 30, 2011
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1942570437 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 TX · 809325✔ Licensed in FL · APRN9493696
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.
3909 SWISS AVE, Dallas, TX 75204

Secondary Practice Location 1

Location 11053 Medical Center Dr Ste 201Orange City, FL 32763-8261 · Phone (386) 231-5257 · Fax (386) 231-3695

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

Melissa Pena Vidal 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 ID6608030721
PECOS Enrollment IDI20201007001623

Medicare Billing Reassignments

9

Medicare enrollment records show Melissa Pena Vidal reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
Anesthesiology
2821 PROCTOR RD
Sarasota, FL 34231
  • Reassigned Medicare billing, Florida enrollment
  • 134 clinicians in this Medicare group
Anesthesiology
460 SAINT CHARLES CT
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
Anesthesiology
975 TOWN CENTER DR STE 100
Orange City, FL 32763
  • Reassigned Medicare billing, Florida enrollment
  • 129 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
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
Anesthesiology
2130 S ORANGE AVE
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 45 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7974 LAKE UNDERHILL RD
Orlando, FL 32822
  • Reassigned Medicare billing, Florida enrollment
  • 100 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 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.
200 services177 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
116 services114 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75204 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 Melissa Pena Vidal's NPI number?

The NPI number for Melissa Pena Vidal is 1942570437. It was assigned to this individual provider in the NPPES registry on December 30, 2011.

Where is Melissa Pena Vidal located?

Melissa Pena Vidal practices at 3909 Swiss Ave Apt 203, Dallas, TX 75204. The listed phone number is (787) 307-1422.

What is Melissa Pena Vidal's specialty?

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

Is Melissa Pena Vidal enrolled in Medicare?

Yes. Melissa Pena Vidal 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 Melissa Pena Vidal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Pena Vidal reassigns Medicare benefits to 9 organizations: Fleming Island Anesthesia LLC (Orange Park, FL), Anesthesia Dynamics LLC (Bradenton, FL), Sarasota Anesthesia Services LLC (Sarasota, FL), David W Nussear MD LLC (Lake Mary, FL), Orange City Anesthesia Services LLC (Orange City, FL) and 4 more organizations, listed in the Medicare section above. 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 Melissa Pena Vidal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Pena Vidal accept?

Health plans from Blue Cross and Blue Shield of Texas list Melissa Pena Vidal 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.

When was this NPI record last updated?

The NPPES record for Melissa Pena Vidal was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.