Individual provider Active NPI

Elizabeth Mary Mackey, CRNA

  • Certified Registered Nurse Anesthetist
  • Middle River, MD
National Provider Identifier
1114622800
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R207548 Issued in MD
Practice address
416 Redbridge St
Middle River, MD 21220-2008
Phone
(443) 474-8210
NPI assigned
Apr 3, 2023
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 R207548 MD Primary
Critical Care Medicine Registered Nurse 163WC0200X R207548 MD

Addresses

Primary practice location

416 Redbridge St
Middle River, MD 21220-2008

Mailing address

416 Redbridge St
Middle River, MD 21220-2008

Other practice location 1

1220 E Joppa Rd Ste 508
Towson, MD 21286-5811
Phone (410) 296-4415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711003307 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688033442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Maryland School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R207548MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Anesthesia & Pain Management Services, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Maryland Anesthesia & Pain Management Services, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Maryland Anesthesia & Pain Management Services, P.C. Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

Interoperability endpoints

  • Direct secure messaging: emackey967245@direct.umm.edu

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1114622800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 REDBRIDGE ST",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 REDBRIDGE ST",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202008",
            "telephone_number": "443-474-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E Joppa Rd Ste 508",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212865811",
            "country_code": "US",
            "telephone_number": "410-296-4415",
            "fax_number": "410-296-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R207548",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R207548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.