Active NPI
Dana Jo Marshall, CRNA
- Certified Registered Nurse Anesthetist
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 034249
- Practice address
- 35 Medical Center Pkwy
Ste 201
Augusta, ME 04330-8160 - Phone
- (207) 622-1959
- Fax
- (207) 430-4007
- NPI assigned
- Jun 6, 2006
- Last updated
- Apr 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 034249 | ME | Primary |
Addresses
Primary practice location
35 Medical Center Pkwy
Ste 201
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 622-1959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323370099 | Medicaid | ME |
Other names 1
- Dana Jo Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, SC, IL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
149 N St
Waterville, ME 04901-4974
Phone (207) 622-1959
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034249 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kennebec Anesthesia Associates, P.a. | Current | Accepting new patients | |
| Waterville Anesthesia Associates, P.a. | Past | Accepting new patients |
Locations
35 Medical Center Pkwy
#201
Augusta, ME 04330
Phone (207) 622-1959
35 Medical Center Pkwy
Ste 201
Augusta, ME 04330
Phone (207) 620-1136
149 North St
Waterville, ME 04901
Phone (207) 622-1959
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
3545 Highway 17
Ste 100
Murrells Inlet, SC 29576
Phone (843) 299-1717
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 4
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
- Augusta, ME
- NPI 1992789184
-
- Certified Registered Nurse Anesthetist
- Loves Park, IL
- NPI 1629090642
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Waterville, ME
- NPI 1346295987
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1225077878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-622-1959",
"fax_number": "207-430-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"address_2": "STE 201",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-622-1959",
"fax_number": "207-430-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DANA",
"middle_name": "JO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "034249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323370099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "LARSON",
"middle_name": "JO",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.