Individual provider Active NPI

Mariama Bah

  • Certified Registered Nurse Anesthetist
  • Abilene, TX
National Provider Identifier
1104645951
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1179303 Issued in TX
Practice address
6250 US Highway 83
Abilene, TX 79606-5215
Phone
(325) 542-8100
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 152231 AZ
Certified Registered Nurse Anesthetist 367500000X 1179303 TX Primary

Addresses

Primary practice location

6250 US Highway 83
Abilene, TX 79606-5215

Mailing address

8103 Gilroy Dr
Lorton, VA 22079-2937
Phone (703) 649-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241114000492 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183158009 Reassigns benefits to 1 organization
I20251216002967 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183158009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Pinnacle Anesthesia Services LLCGroup PAC ID 1951662980, 252 clinicians
Hendrick Anesthesia NetworkGroup PAC ID 3274521281, 99 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152231AZMDCertified Registered Nurse Anesthetist
1179303TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Anesthesia Network CurrentSince Nov 1, 2024 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 4, 2025 Accepting new patients

Locations

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1104645951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 GILROY DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792937",
            "telephone_number": "703-649-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 US HIGHWAY 83",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065215",
            "telephone_number": "325-542-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAH",
        "first_name": "MARIAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "152231",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1179303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.