Individual provider Active NPI

Mary Lynn Lamar, CRNA, MSN

  • Certified Registered Nurse Anesthetist
  • Nevada, IA
National Provider Identifier
1134326952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D099081 Issued in IA
Practice address
640 S 19TH St
Nevada, IA 50201-2902
Phone
(515) 382-2111
Fax
(515) 382-7766
NPI assigned
Jun 27, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 D099081 IA Primary

Addresses

Primary practice location

640 S 19TH St
Nevada, IA 50201-2902

Mailing address

640 S 19TH St
Nevada, IA 50201-2902
Phone (515) 382-2111

Other practice location 1

700 E University Ave
Des Moines, IA 50316-2302
Phone (515) 263-5628

Other identifiers 1

IdentifierTypeStateIssuer
54599OtherIAWELLMARK BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000508 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012008022 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Physician Assistant

State licenses

LicenseStateTypeSpecialty
099081IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Anesthesia Iowa PLC CurrentSince Jul 1, 2015 Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2023 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Des Moines Anesthesiologists PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150

Interoperability endpoints

  • Direct secure messaging: mlamar277394@uihcdirect.org
  • Direct secure messaging: mlamar431340@direct.unitypoint.org

Organizations & group practices 12

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134326952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S 19TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012902",
            "telephone_number": "515-382-2111",
            "fax_number": "515-382-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S 19TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012902",
            "telephone_number": "515-382-2111",
            "fax_number": "515-382-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503162302",
            "country_code": "US",
            "telephone_number": "515-263-5628",
            "fax_number": "515-263-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "CRNA, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D099081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "54599",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.