Individual provider Active NPI

Mary Anyzeski, CRNA

  • Certified Registered Nurse Anesthetist
  • Andover, MA
National Provider Identifier
1033316138
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
129089 Issued in MA
Practice address
349 N Main St
Andover, MA 01810-2687
Phone
(978) 475-0959
NPI assigned
Jul 2, 2007
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 129089 MA Primary
Registered Nurse 163W00000X 129089 MA

Addresses

Primary practice location

349 N Main St
Andover, MA 01810-2687

Mailing address

690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000329 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254342017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
77.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
129089MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Ivs Anesthesia, LLC CurrentSince Jan 1, 1989 Accepting new patients
JJM Medical Services, PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

349 N Main St
Andover, MA 01810
Phone (978) 475-0959

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

321 Billerica Rd
Chelmsford, MA 01824
Phone (978) 256-3219

95 Mechanic St
Gardner, MA 01440
Phone (978) 632-6674

145 West St
Milford, MA 01757
Phone (508) 381-5600

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

91 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-1952

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

52 Second Ave
Ste 2500
Waltham, MA 02451
Phone (781) 487-2200

171 Interstate Dr
Ste 1
West Springfield, MA 01089
Phone (413) 737-5500

690 Canton St
Ste 325
Westwood, MA 02090
Phone 7814077713307

400 10th St E
Waconia, MN 55387

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1033316138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYZESKI",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "129089",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "129089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.