Kgc CRNA LLC
NPI 1609215730ActiveOrganization· Nurse Anesthetist, Certified Registered· Melbourne, FL
Nurse Anesthetist, Certified Registered in Melbourne, Florida, registered in NPPES in June 2013. The authorized official on file is Kandee Georgette Coppala, CRNA, Manager/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609215730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2013 |
| Last updated in NPPES | Jul 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | ARNP 9217913 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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