Individual provider Active NPI

Monique Martina Fay, CRNA

  • Certified Registered Nurse Anesthetist
  • Beverly, MA
National Provider Identifier
1235235029
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN207882 Issued in MA
Practice address
85 Herrick St
Beverly, MA 01915-1790
Phone
(978) 816-3700
NPI assigned
Sep 16, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 038713-23 NH
Certified Registered Nurse Anesthetist 367500000X 18938 SC
Certified Registered Nurse Anesthetist 367500000X RN207882 MA Primary

Addresses

Primary practice location

85 Herrick St
Beverly, MA 01915-1790

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001

Other practice location 1

1 Pillsbury St
Suite 202
Concord, NH 03301-3556
Phone (603) 224-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050503000280 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810936440 Reassigns benefits to 5 organizations
I20161007001229 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810936440 Reassigns benefits to 1 organization
I20230825001468 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810936440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8451

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 816-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN207882MAMDCertified Registered Nurse Anesthetist
18938SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Dec 23, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 25, 2019 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Jan 6, 2024 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2023 Accepting new patients
Anesthesia Care Group PC CurrentSince Dec 17, 2002 Accepting new patients
Granite State Anesthesia Partners, LLC CurrentSince Feb 27, 2025 Accepting new patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2002 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

264 Pleasant St
Concord, NH 03301

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1235235029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HERRICK ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151790",
            "telephone_number": "978-816-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pillsbury St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013556",
            "country_code": "US",
            "telephone_number": "603-224-4776",
            "fax_number": "603-228-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAY",
        "first_name": "MONIQUE",
        "middle_name": "MARTINA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "038713-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "18938",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN207882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.