Individual provider Active NPI

Maura Eileen Schaefer, CRNA

  • Certified Registered Nurse Anesthetist
  • College Station, TX
National Provider Identifier
1437696705
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1070793 Issued in TX
Practice address
1604 Rock Prairie Rd
College Station, TX 77845-8343
Phone
(979) 764-5100
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 019655 OH
Certified Registered Nurse Anesthetist 367500000X 1070793 TX Primary

Addresses

Primary practice location

1604 Rock Prairie Rd
College Station, TX 77845-8343

Mailing address

4079 Crooked Creek Path
College Station, TX 77845-2069
Phone (216) 287-0634

Other names 1

  • Maura Eileen Dobrovich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180328002273 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840577649 Reassigns benefits to 3 organizations
I20220602001666 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840577649 Reassigns benefits to 1 organization
I20240607000289 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840577649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agcny Physicians PLLCGroup PAC ID 4284804345, 36 clinicians
Chag Anesthesia PCGroup PAC ID 2668361973, 54 clinicians

Practice addresses (Care Compare)

260 Township Blvd
Suite 20
Camillus, NY 13031-1678
Phone (315) 708-0091

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 26, 2021 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince May 24, 2022 Accepting new patients
Chag Anesthesia PC CurrentSince Jun 15, 2024 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Feb 19, 2018 Accepting new patients
Agcny Physicians PLLC CurrentSince Jun 15, 2024 Accepting new patients
Medical Center Anesthesiologists, P.C. CurrentSince Oct 6, 2019 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
New York Anesthesiology Medical Specialties, PC Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

411 Laurel St
Ste 3170
Des Moines, IA 50314
Phone (515) 283-0463

1225 Jordan Creek Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 283-0463

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

3925 Embassy Pkwy
Ste 3975
Akron, OH 44333

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1437696705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 CROOKED CREEK PATH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452069",
            "telephone_number": "216-287-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 ROCK PRAIRIE RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458343",
            "telephone_number": "979-764-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MAURA",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "019655",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1070793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURA",
            "last_name": "DOBROVICH",
            "middle_name": "EILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.