Individual provider Active NPI

Mary Kathleen Hutton, CRNA

  • Certified Registered Nurse Anesthetist
  • Fremont, NE
National Provider Identifier
1407015779
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101048 Issued in NE
Practice address
450 E 23Rd St
Fremont, NE 68025-2303
Phone
(402) 727-3396
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 67180 NE
Certified Registered Nurse Anesthetist 367500000X 0024168018 VA
Certified Registered Nurse Anesthetist 367500000X 101048 NE Primary

Addresses

Primary practice location

450 E 23Rd St
Fremont, NE 68025-2303

Mailing address

825 S 169TH St FL 3
Omaha, NE 68118-9300
Phone (402) 354-4822

Other names 1

  • Mary Kathleen Haffarnan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NE, DC, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090106000786 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214090901 Reassigns benefits to 1 organization
I20090324000689 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214090901 Reassigns benefits to 2 organizations
I20190206001678 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214090901 Reassigns benefits to 1 organization
I20210223000064 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214090901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthoanesthesia PCGroup PAC ID 2860826443, 31 clinicians

Practice addresses (Care Compare)

2808 S 143Rd PLZ
Nebraska Orthopaedic Hospital LLC
Omaha, NE 68144-5611
Phone (402) 637-0600

Hospital & facility affiliations

  • Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67180NEMDRegistered Nurse
101048NEMDCertified Registered Nurse Anesthetist
0024168018VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC CurrentSince Aug 1, 2025 Accepting new patients
Methodist Fremont Health CurrentSince Oct 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Feb 16, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Feb 16, 2021 Accepting new patients
Orthoanesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2022 Accepting new patients
Heartland Anesthesia Services PC Past Accepting new patients
CHI Health Clinic Specialty, LLC Past Accepting new patients
Anesthesia Services of Omaha LLC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1407015779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 169TH ST FL 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681189300",
            "telephone_number": "402-354-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-727-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "67180",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168018",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HAFFARNAN",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.