Individual provider Active NPI

Priscilla Berry, CRNA

  • Certified Registered Nurse Anesthetist
  • White Plains, NY
National Provider Identifier
1104495175
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
14710 Issued in CT
Practice address
41 E Post Rd
White Plains, NY 10601-4607
Phone
(914) 681-0600
NPI assigned
Jun 23, 2021
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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 632611 NY
Certified Registered Nurse Anesthetist 367500000X 14710 CT Primary
Registered Nurse 163W00000X 231259 CT
Critical Care Medicine Registered Nurse 163WC0200X 632611 NY

Addresses

Primary practice location

41 E Post Rd
White Plains, NY 10601-4607

Mailing address

560 W 168TH St
New York, NY 10032-3917
Phone (212) 305-4318

Other practice location 1

560 W 168th St
New York, NY 10032-3917
Phone (212) 305-4318

Other names 1

  • Priscilla Mariusso Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231201000128 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426406497 Reassigns benefits to 2 organizations
I20250923000852 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426406497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
231259CTMDRegistered Nurse
14710CTMDCertified Registered Nurse Anesthetist
632611NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia School of Nursing CurrentSince Jul 9, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Oct 7, 2023 Accepting new patients
MK Anesthesia Services PLLC CurrentSince Jul 3, 2025 Accepting new patients
Amsurg Stamford Anesthesia LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

7 Southwoods Blvd
Ste 4
Albany, NY 12211

749 61st St
Brooklyn, NY 11220
Phone (201) 767-4040

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

3808 Union St
Flushing, NY 11354
Phone (718) 362-6298

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

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

560 W 168th St
New York, NY 10032
Phone (212) 305-4318

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1104495175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323917",
            "telephone_number": "212-305-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014607",
            "telephone_number": "914-681-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323917",
            "country_code": "US",
            "telephone_number": "212-305-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "PRISCILLA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "632611",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "14710",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "231259",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "632611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "MARIUSSO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.