Active NPI
Marsc Danielle Mertilus, CRNA
- Certified Registered Nurse Anesthetist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024192258
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
Enrollment records 6
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
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
- Kingman Regional Medical Center
- Centennial Hills Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Red Rock Anesthesia Consultants LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Anesco North Broward LLC | Current | Accepting new patients | |
| Amin, Dunckelmeyer and Luu PLLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Battle Born Anesthesia Associates LTD | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Anesthesiology Group Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | 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
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- mmertilus61798@unitedregional.medalliesdirect.net
- 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.
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1194761262
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kingman, AZ
- NPI 1629781455
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1235660002
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1093410045
-
- Anesthesiology Physician
- Ft Lauderdale, FL
- NPI 1699763862
-
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Anesthesiology Physician
- Newburgh, IN
- NPI 1619031416
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
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.