Active NPI
Mary Kathleen Hutton, CRNA
- Certified Registered Nurse Anesthetist
- Fremont, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NE, DC, FL
Enrollment records 4
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67180 | NE | MD | Registered Nurse |
| 101048 | NE | MD | Certified Registered Nurse Anesthetist |
| 0024168018 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Methodist Fremont Health | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Orthoanesthesia, PC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1184265274
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Fremont, NE
- NPI 1235618216
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1124124227
-
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1992127609
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
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.