Mary Katherine Crouse

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

91082 Issued in NC

Practice address

1001 Lakeside Dr NW
Wilson, NC 27896-2013

Phone

(252) 291-1732

NPI assigned

Jul 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315

  NC

  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  NC

  Medicare reassignment Care Compare group NPD
• Moye Medical Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Greenville, NC
  • NPI 1508041666

  NC

  Medicare reassignment NPD
• Sampson Regional Medical Services, LLC

  • Specialist
  • Clinton, NC
  • NPI 1588780902

  NC

  Medicare reassignment NPD
• Whitehurst Anesthesia P a

  • Certified Registered Nurse Anesthetist
  • Kinston, NC
  • NPI 1073891008

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  Care Compare group NPD
• Vidant Medical Group, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1750125035
  Care Compare group
• Sampson Regional Medical Services LLC

  • Anesthesiology Physician
  • Clinton, NC
  • NPI 1801086558

  Nurse Anesthetist, Certified Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1124383062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278962013",
            "telephone_number": "252-291-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278962013",
            "telephone_number": "252-291-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "165894",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "91082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Crandall, PMHNP-BC
• Craven Neurologic PA
• William Craven, MD
• Shannon Crawford, CADC
• Erica Lynn Crouse, RPA-C
• Jessica Massengill Crunkleton, PHARMD
• Wanda Lisa Crunkleton, PTA
• Alyson Anita Crush, MSW, LCSW
• Rhea Juanita Cruz, MSN APRN FNP-C
• Crystal R. Cox, DDS, Ms, PA

• All providers in Wilson, NC
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.