Individual provider Active NPI

Maura White, RN

  • Certified Registered Nurse Anesthetist
  • Bluffton, IN
National Provider Identifier
1437587870
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28212235A Issued in IN
Practice address
303 S Main St
Bluffton, IN 46714-2503
Phone
(260) 824-3210
NPI assigned
Oct 22, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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 28212235A IN Primary

Addresses

Primary practice location

303 S Main St
Bluffton, IN 46714-2503

Mailing address

500 N Nappanee St
Ste 11-B
Elkhart, IN 46514-1503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509002903 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567692577 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Anesthesia Professional Services LLCGroup PAC ID 6507012713, 8 clinicians
Gastrointestinal Associates S.C.Group PAC ID 4385677814, 42 clinicians
Anesthesia Services of the Fox Valley SCGroup PAC ID 1658345228, 16 clinicians

Practice addresses (Care Compare)

1077 W Mason St
Green Bay, WI 54303-1858
Phone (920) 497-1810

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

4648 W Spencer St
Appleton, WI 54914-9106
Phone (920) 731-7557

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.86 of 100Reported as group
Quality
86.95
Promoting interoperability
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28212235AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of the Fox Valley SC CurrentSince Nov 12, 2018 Accepting new patients
Gastrointestinal Associates S.C. CurrentSince Jan 1, 2024 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Apr 6, 2018 Accepting new patients
Nurse Anesthesia Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
St Clare Memorial Hospital, Inc. Past Accepting new patients
Tower Clock Surgery Center LLC PastSince Oct 1, 2021 Accepting new patients
Tower Clock Surgery Center Appleton, LLC PastSince Oct 22, 2023 Accepting new patients

Locations

4648 W Spencer St
Appleton, WI 54914
Phone (920) 731-7557

1077 W Mason St
Green Bay, WI 54303
Phone (920) 497-1810

1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379

425 S Commercial St
Neenah, WI 54956
Phone (920) 725-0700

855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444

855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187

411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374

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": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1437587870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N NAPPANEE ST",
            "address_2": "STE 11-B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-824-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAURA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28212235A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.