Individual provider Active NPI

Marry Lynn Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1346242880
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0874 Issued in AZ
Practice address
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Phone
(602) 262-8900
NPI assigned
Aug 15, 2005
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3281552 FL
Certified Registered Nurse Anesthetist 367500000X CRNA0874 AZ Primary

Addresses

Primary practice location

1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527

Mailing address

1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Phone (602) 262-8900

Other practice location 1

4800 N 22nd St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other identifiers 5

IdentifierTypeStateIssuer
302591800MedicaidFL
009903565MedicaidAL
430076420OtherFLRAILROAD MEDICARE
G2365OtherFLBLUE CROSS & BLUE SHIELD
59072104OtherALBLUE CROSS & BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130215000289 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668479650 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services for Gi LLCGroup PAC ID 2466882774, 7 clinicians
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians
Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Practice addresses (Care Compare)

14155 N 83Rd Ave
Suite 122
Peoria, AZ 85381-5640
Phone (623) 773-1161

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-7102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRNA0874AZMDCertified Registered Nurse Anesthetist
ARNP3281552FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Current Accepting new patients
Anesthesia Services for Gi LLC CurrentSince Jan 1, 2025 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 1, 2019 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2023 Accepting new patients
Integrated Anesthesia Consultants PLC CurrentSince Feb 18, 2021 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Sep 26, 2016 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Feb 1, 2019 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 1, 2019 Accepting new patients
Southwestern Eye Center LTD CurrentSince Feb 1, 2019 Accepting new patients
Advanced Anesthesia, PLC CurrentSince Feb 1, 2019 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Froedtert Memorial Lutheran Hospital, Inc. Past Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northwest Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
The Anesthesia Group, P.a. Past Accepting new patients
Anesthesia Associates, LTD Past Accepting new patients

Locations (25 of 61)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

815 E Warner Rd
Ste 104
Chandler, AZ 85225
Phone (480) 361-8725

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

18699 N 67th Ave
Glendale, AZ 85308
Phone 6022649806203

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

14155 N 83rd Ave
Ste 122
Peoria, AZ 85381
Phone (623) 694-1445

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1346242880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044527",
            "telephone_number": "602-262-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044527",
            "telephone_number": "602-262-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164701",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARRY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3281552",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302591800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009903565",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430076420",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "G2365",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "59072104",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.