Active NPI
Myra F Mardis, CRNA
- Certified Registered Nurse Anesthetist
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002717
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Aug 4, 2006
- Last updated
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN286402 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 95002717 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
2222 Philadelphia Drive
Dayton, OH 45406-1891
Phone (937) 278-2612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000354962 | Other | OH | ANTHEM |
| 2540576 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY, CA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 S 3Rd St
Danville, KY 40422-1823
Phone (853) 893-1000
3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 473-0181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN286402 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Group Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ad of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Associates, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Pediatric Anesthesia Associates of Dayton, Inc. | Past | Accepting new patients | |
| Digestive Care of Evansville, PC | Past | Accepting new patients | |
| Children's Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Consolidated Anesthesiologists Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103
647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103
1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1194761262
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1376415596
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Anesthesiology Physician
- Rockport, IN
- NPI 1396179461
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- South Bend, IN
- NPI 1073899449
Nurse Anesthetist, Certified Registered
-
- Pediatric Anesthesiology Physician
- Dayton, OH
- NPI 1932397544
Nurse Anesthetist, Certified Registered
-
dba Anesthesia Associates Of Northwest Dayton Inc
- Anesthesiology Physician
- Dayton, OH
- NPI 1952377798
Nurse Anesthetist, Certified Registered
-
dba QuickPath
- Clinical Medical Laboratory
- Evansville, IN
- NPI 1619220118
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1447217096
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1164430062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000",
"fax_number": "937-293-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "2222 Philadelphia Drive",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454061891",
"country_code": "US",
"telephone_number": "937-278-2612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARDIS",
"first_name": "MYRA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN286402",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000354962",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2540576",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.