Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Gina Fasolo, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1730650698

Miss. Gina Fasolo, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Lauderdale, Florida. Qualified in 2018, 8 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
8
Licensed in
FL, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1525 W Cypress Creek Rd
Fort Lauderdale, FL 33309
Phone: (201) 615-6601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 355 Bard Ave, Staten Island, NY 10310-1699 — (718) 818-1234
  • 301 Prospect Ave, Syracuse, NY 13203-1807 — (315) 448-5111

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11007198 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 647022 (NY)

Record details

NPI number1730650698
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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