Mary B Waller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP2947442 Issued in FL

Practice address

1000 W Moreno St
Pensacola, FL 32501-2316

Phone

(850) 434-4858

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ams Baptist LLCGroup PAC ID 6901099688, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ams Baptist LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1093020216

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ams of Gulf Breeze LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1376812032

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Health Care Partners of Florida Inc

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1518915545

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Fort Walton Beach Anesthesia LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1538159652
  NPD (past)
• The Anesthesia Group, P.a.

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1871532226
  NPD (past)
• Gadsden Regional Medical Center LLC

  • Clinical Cardiac Electrophysiology Physician
  • Gadsden, AL
  • NPI 1801800784

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1356329973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 HALLMARK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033317",
            "telephone_number": "850-470-9615",
            "fax_number": "850-470-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-434-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "MARY",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2947442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302213700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSFL",
            "identifier": "G2209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James P Wallace, PT
• Latoya M. Wallace, PA
• Victoria Wallace, LCSW
• Wanda Dannette Wallace, DSW, LCSW
• Aaron C Wallender, DDS, MD
• Virginia Walls
• Jessica Lynn Walsh, FNP-C
• Vivian Rose Walsh
• Andrea B. Walter
• Mary Ann Walter, APRN

• Certified Registered Nurse Anesthetist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.