Active NPI
Maria Packard
- Certified Registered Nurse Anesthetist
- Port Townsend, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60536315
- Practice address
- 834 Sheridan St
Port Townsend, WA 98368-2443 - Phone
- (360) 385-2200
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | AP60536315 | WA | Primary |
Addresses
Primary practice location
834 Sheridan St
Port Townsend, WA 98368-2443
Mailing address
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Other names 1
- Maria Groza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
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
Practice addresses (Care Compare)
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
Hospital & facility affiliations
- Providence Portland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.51 of 100
- Quality
- 68.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Anesthesia Group P S | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
707 SW Washington St
Ste 700
Portland, OR 97205
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
505 NE 87th Ave
Ste 210
Vancouver, WA 98664
Phone (360) 828-5396
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1285024208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682443",
"telephone_number": "360-385-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682443",
"telephone_number": "360-385-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKARD",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60536315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "GROZA",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.