Individual provider Active NPI

Maribel K Abenir, CRNA-NP

  • Certified Registered Nurse Anesthetist
  • Petersburg, VA
National Provider Identifier
1093754079
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0001144811 Issued in VA
Practice address
200 Medical Park Blvd
Southside Regional Medical Center
Petersburg, VA 23805-9274
Phone
(804) 765-5000
Fax
(804) 765-6250
NPI assigned
Jun 5, 2006
Last updated
Nov 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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 0001144811 VA Primary

Addresses

Primary practice location

200 Medical Park Blvd
Southside Regional Medical Center
Petersburg, VA 23805-9274

Mailing address

1101 First Colonial Rd 300
Virginia Beach, VA 23454-2409
Phone (757) 481-4817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000236 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981690708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

1925 Glenn Mitchell Dr
Suite 102
Virginia Beach, VA 23456-0170
Phone (757) 464-1644

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care LLC CurrentSince Oct 16, 2021 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2018 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients
Anesthesia Healthcare Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Portsmouth Anesthesia Associates, P.C. Past Accepting new patients
The Maryland Center for Digestive Health LLC PastSince Jun 13, 2018 Accepting new patients

Locations

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

501 Medical Dr
Hampton, VA 23666
Phone (757) 826-3434

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

885 Kempsville Rd
Ste 114
Norfolk, VA 23502
Phone (757) 466-0165

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone (757) 483-6100

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1093754079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FIRST COLONIAL RD 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542409",
            "telephone_number": "757-481-4817",
            "fax_number": "757-481-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK BLVD",
            "address_2": "SOUTHSIDE REGIONAL MEDICAL CENTER",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059274",
            "telephone_number": "804-765-5000",
            "fax_number": "804-765-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENIR",
        "first_name": "MARIBEL",
        "middle_name": "K",
        "credential": "CRNA-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001144811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.