Individual provider Active NPI

Mark Allen Strutt, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensboro, NC
National Provider Identifier
1194123646
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6733 Issued in NC
Practice address
3812 N Elm St
Greensboro, NC 27455-2596
Phone
(336) 294-1833
NPI assigned
Dec 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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 6733 NC Primary

Addresses

Primary practice location

3812 N Elm St
Greensboro, NC 27455-2596

Mailing address

255 Lakewalk Dr
Reidsville, NC 27320-9447
Phone (937) 367-2206

Other identifiers 1

IdentifierTypeStateIssuer
3099757MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002000195 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426373978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Professional Anesthesia Services PCGroup PAC ID 9133180326, 17 clinicians

Practice addresses (Care Compare)

3812 N Elm St
Greensboro, NC 27455-2596
Phone (336) 294-1833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6733NCMDSpeech-Language Pathologist
06370923NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Professional Anesthesia Services PC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2023 Accepting new patients

Locations

128 Peachtree Ln
Ste B
Advance, NC 27006
Phone (336) 998-3396

1781 Metromedical Dr
Fayetteville, NC 28304
Phone (828) 771-5227

3812 N Elm St
Greensboro, NC 27455
Phone (336) 294-1833

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1194123646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LAKEWALK DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209447",
            "telephone_number": "937-367-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552596",
            "telephone_number": "336-294-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUTT",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099757",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.