Individual provider Active NPI

Mary Eileen Rodkey, RN, BSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Fe, NM
National Provider Identifier
1043622715
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-79511 Issued in NM
Practice address
1631 Hospital Dr
Santa Fe, NM 87505-4728
Phone
(505) 323-7200
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-79511 NM Primary

Addresses

Primary practice location

1631 Hospital Dr
Santa Fe, NM 87505-4728

Mailing address

6761 Camino Rojo
Santa Fe, NM 87507-3422
Phone (412) 445-7492

Other names 1

  • Mary Eileen Arthur Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002000410 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830319417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
78.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-79511NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Anesthesia, P.a. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Radius Anesthesia of New Mexico LLC CurrentSince Jan 1, 2022 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Valued Medical Care LLC CurrentSince Aug 1, 2020 Accepting new patients
San Juan Regional Medical Center Inc PastSince Oct 1, 2021 Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

4901 Lang Ave NE
Ste 100
Albuquerque, NM 87109
Phone (505) 883-2574

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

1515 E 20th St
Ste A
Farmington, NM 87401
Phone (505) 326-6400

Organizations & group practices 5

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1043622715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6761 CAMINO ROJO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073422",
            "telephone_number": "412-445-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054728",
            "telephone_number": "505-323-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODKEY",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "RN-79511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ARTHUR",
            "middle_name": "EILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.