Maria Fuller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1154 Issued in AZ

Practice address

2795 Poseidon Dr
Lake Havasu City, AZ 86404-3259

Phone

(816) 769-5775

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians

Capital Anesthesia Solutions of Missouri LLCGroup PAC ID 1456764885, 75 clinicians

Excel Anesthesia, LLCGroup PAC ID 1850397787, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027

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.

• Capital Anesthesia Solutions of Missouri, LLC

  • Anesthesiology Physician
  • Rombauer, MO
  • NPI 1770185472
  Medicare reassignment Care Compare group
• Excel Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
  • NPI 1366559130

  MO

  Medicare reassignment Care Compare group
• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732

  MO

  Medicare reassignment NPD
• Eye Care, LLC

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034
  Medicare reassignment NPD
• Eye Care, LLC

  • Optometrist
  • Leawood, KS
  • NPI 1881884211
  Medicare reassignment NPD
• Eye Care LLC

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567
  NPD
• Eye Care, LLC

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD
• Dynamos Anesthesia Services LLC

  • Anesthesiology Physician
  • Leavenworth, KS
  • NPI 1639719180

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - RMC, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1134515612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 POSEIDON DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864043259",
            "telephone_number": "816-769-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 POSEIDON DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864043259",
            "telephone_number": "816-769-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MARIA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Wellness, LLC
• Katelyn Marie Frost, PHARMD
• Alisha M Fulker, P.T., DPT
• Allison Nicole Fuller
• Edward P Fuller, MD
• David Funk, PT, DPT
• Melissa Christine Funk, HIS
• Allison Joy Fuoco
• Ashley Gagnon
• Gabriel Gregory Galante, DDS

• Certified Registered Nurse Anesthetist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.