Individual provider Active NPI

Marsc Danielle Mertilus, CRNA

  • Certified Registered Nurse Anesthetist
  • Newport News, VA
National Provider Identifier
1043885734
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024192258 Issued in VA
Practice address
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone
(757) 594-2000
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 1044574 TX
Certified Registered Nurse Anesthetist 367500000X 0024192258 VA Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Mailing address

PO Box 650823
Dept 42053
Dallas, TX 75265-0823
Phone (855) 338-1409

Other practice location 1

1600 11th St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, NV, VA, IN, AZ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220428002798 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012315377 Reassigns benefits to 1 organization
I20240522000329 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012315377 Reassigns benefits to 1 organization
I20240806001904 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012315377 Reassigns benefits to 2 organizations
I20250312003886 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012315377 Reassigns benefits to 1 organization
I20250512000867 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012315377 Reassigns benefits to 2 organizations
I20251008003278 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012315377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Battle Born Anesthesia Associates LTDGroup PAC ID 5193235141, 26 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Anesthesiology Group Associates PCGroup PAC ID 0547233959, 47 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (917) 903-0010

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 473-0181

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince May 13, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Anesco North Broward LLC CurrentSince Oct 21, 2022 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Jul 1, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Dec 28, 2024 Accepting new patients
Battle Born Anesthesia Associates LTD CurrentSince Oct 1, 2025 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2025 Accepting new patients
Musc Community Physicians CurrentSince May 13, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Anesthesiology Group Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Dec 28, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Jun 2, 2025 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: mmertilus61798@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1043885734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650823",
            "address_2": "DEPT 42053",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650823",
            "telephone_number": "855-338-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 11th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014300",
            "country_code": "US",
            "telephone_number": "940-764-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERTILUS",
        "first_name": "MARSC",
        "middle_name": "DANIELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1044574",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024192258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.