Individual provider Active NPI

Maxine Marinari II, CRNA

  • Certified Registered Nurse Anesthetist
  • Lansdale, PA
National Provider Identifier
1407972235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN273995L Issued in PA
Practice address
1000 N Broad St
Lansdale, PA 19446-1138
Phone
(610) 715-2837
Fax
(610) 409-8889
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN273995L PA Primary

Addresses

Primary practice location

1000 N Broad St
Lansdale, PA 19446-1138

Mailing address

PO Box 1365
Kulpsville, PA 19443-1365
Phone (215) 671-4280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000751 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486692969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Endoscopy Center, LLCGroup PAC ID 4587994595, 14 clinicians
WCS Sedation, LLCGroup PAC ID 8820349582, 7 clinicians

Practice addresses (Care Compare)

1501 N Cedar Crest Blvd
Suite 100
Allentown, PA 18104-2309
Phone (610) 289-2172

915 Old Fern Hill Rd
Suite 300
West Chester, PA 19380-3431
Phone (610) 431-3122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WCS Sedation, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2018 Accepting new patients
Nazareth Endoscopy Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Eastern Pennsylvania Endoscopy Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Platinum Anesthesia Professional, P.C. Past Accepting new patients
Anestiplus, Inc. Past Accepting new patients
North Penn Anesthesiology Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesticare Anesthesia Services Past Accepting new patients

Locations

1501 N Cedar Crest Blvd
Ste 100
Allentown, PA 18104
Phone (610) 289-2172

2401 Northampton St
Ste 220
Easton, PA 18045
Phone (610) 756-9900

915 Old Fern Hill Rd
Ste 300
West Chester, PA 19380
Phone 61043131221600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407972235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1365",
            "city": "KULPSVILLE",
            "state": "PA",
            "postal_code": "194431365",
            "telephone_number": "215-671-4280",
            "fax_number": "215-464-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461138",
            "telephone_number": "610-715-2837",
            "fax_number": "610-409-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINARI",
        "first_name": "MAXINE",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN273995L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.