Individual provider Active NPI

Mariya Kogan, APRN

  • Certified Registered Nurse Anesthetist
  • Littleton, NH
National Provider Identifier
1093061772
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
073409-23 Issued in NH
Practice address
600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone
(603) 444-9565
NPI assigned
Jul 31, 2012
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9281556 FL
Certified Registered Nurse Anesthetist 367500000X 4241 CA
Certified Registered Nurse Anesthetist 367500000X 073409-23 NH Primary
Certified Registered Nurse Anesthetist 367500000X 505545 NY

Addresses

Primary practice location

600 Saint Johnsbury Rd
Littleton, NH 03561-3442

Mailing address

PO Box 1598
Campton, NH 03223-1598

Other practice location 1

220 Cottage St
Littleton, NH 03561-4101
Phone (603) 444-0272 ext. 17

Other identifiers 3

IdentifierTypeStateIssuer
3104728MedicaidNH
1027790MedicaidVT
T400352253OtherNHNH MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161229000466 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890943260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Cottage St
Littleton, NH 03561-4101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9281556FLMDCertified Registered Nurse Anesthetist
505545NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Nov 6, 2016 Accepting new patients
Littleton Hospital Association CurrentSince Nov 6, 2016 Accepting new patients
Cottage Hospital CurrentSince Sep 25, 2017 Accepting new patients
Premier Health LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Northstar Wellness Associates PLLC PastSince Oct 4, 2020 Accepting new patients
Sheridan Anesthesia Services of Minnesota, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

220 Cottage St
Littleton, NH 03561
Phone (603) 444-0272

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

Organizations & group practices 7

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1093061772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "CAMPTON",
            "state": "NH",
            "postal_code": "032231598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT JOHNSBURY RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613442",
            "telephone_number": "603-444-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Cottage St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "NH",
            "postal_code": "035614101",
            "country_code": "US",
            "telephone_number": "603-444-0272 x17",
            "fax_number": "603-444-0274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "MARIYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9281556",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4241",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "073409-23",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "505545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104728",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027790",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICARE",
            "identifier": "T400352253",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.