NPPES file of Aug 9, 2026

Justin Gary Broadhead, CRNA

Certified Registered Nurse Anesthetist · Port Charlotte, FL

Justin Gary Broadhead, CRNA is a certified registered nurse anesthetist with a practice address in Port Charlotte, Florida, and NPI 1477076107, issued on Jul 25, 2017. Check the license (Florida 9397757, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1477076107
Name
Justin Gary Broadhead
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License numbers
9397757 FL
1011922 TX
Self-reported in NPPES; status is on the state search
Practice location
21298 Olean Blvd, Port Charlotte, FL 33952
Phone
(941) 629-1181
Enumerated
Jul 25, 2017
Record last updated
Jan 21, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20210127000361); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 21298 Olean Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joahnna Faye Almero, PT, DPTPhysical Therapist1063037760
  2. Melissa AniskewiczCertified Registered Nurse Anesthetist1912533357
  3. Jeannette BrookeRegistered Nurse1407693229
  4. Ashley D'Orazio-Bradfield, D.O.Emergency Medicine Physician1912319633
  5. Monica DegenaroCertified Registered Nurse Anesthetist1487951083
  6. Bridgett Donalson, APRNAcute Care Nurse Practitioner1063980647

Verify Justin Gary Broadhead in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license 9397757
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 93.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score95.7
  2. Costout of 100 · 30%81.6
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Northstar Anesthesia III PACorpus Christi, TX
  2. Northstar Anesthesia PAPlano, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Justin Gary Broadhead among 6,367 certified registered nurse anesthetist records in Florida

Justin Gary Broadhead, CRNA is one of 6,367 certified registered nurse anesthetist records with a practice address in Florida. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 63% of them.

  • NPI issued2017 · 63% of these records are older, 34% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2017 · median 2014 among the 4,741 with a school on file
  • Record last updated2021 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

59 certified registered nurse anesthetist records list a practice address in Port Charlotte

They are 59 of the 1,685 NPPES records with a practice address in Port Charlotte, and 6,367 certified registered nurse anesthetist records in Florida.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Peter Arcadi, C.R.N.A.Port Charlotte, FL 339521609892751
  2. Michael Baskind, CRNAPort Charlotte, FL 339521225106081
  3. Robert Bland, CRNA; NSPM-CPort Charlotte, FL 339521366439176
  4. Dianne Delaney, CRNAPort Charlotte, FL 339521487621421
  5. Eric Ewald, CRNAPort Charlotte, FL 339521780781443
  6. Blaine Griffiths, CRNAPort Charlotte, FL 339521083641781
  7. Gary Hutton, CRNAPort Charlotte, FL 339521942232376
  8. Angela Johns, CRNAPort Charlotte, FL 339521407820202

Common questions

What is Justin Gary Broadhead, CRNA's NPI number?

Justin Gary Broadhead, CRNA's National Provider Identifier (NPI) is 1477076107, issued on Jul 25, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Justin Gary Broadhead, CRNA located?

The NPPES record lists a practice address at 21298 Olean Blvd, Port Charlotte, FL, 33952. Phone: (941) 629-1181. Providers update this record themselves, so call before visiting.

How can I verify Justin Gary Broadhead, CRNA's license?

NPPES lists Florida license number 9397757, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Justin Gary Broadhead, CRNA's MIPS final score?

The 2023 MIPS final score is 93.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.