Active NPI
Mary F McFall, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
National Provider Identifier
1447215744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 27197
- Practice address
- 145 Kimel Park Dr Ste 120
Winston Salem, NC 27103 - Phone
- (336) 768-3212
- Fax
- (336) 768-9019
- NPI assigned
- Apr 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 146001-030 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 27197 | NC | Primary |
Addresses
Primary practice location
145 Kimel Park Dr Ste 120
Winston Salem, NC 27103
Mailing address
145 Kimel Park Dr Ste 120
Winston Salem, NC 27103-6983
Phone (336) 768-3212
Other practice location 1
700 S Mills St
St. Marys Hospital/Dean Medical Center
Madison, WI 53715-1849
Phone (608) 258-6975
Other practice location 2
700 S Mills St
St. Marys Hospital/Dean Medical Center
Madison, WI 53715-1849
Phone (608) 258-6975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44327600 | Medicaid | WI | |
| 60251 | Other | WI | DEAN HEALTH INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MMCFALL129818@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27197 | NC | MD | Certified Registered Nurse Anesthetist |
| 146001-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KRMC Group, Inc. | Past | Accepting new patients | |
| Carolina Surgical Center | Past | Accepting new patients |
Interoperability endpoints
- mmcfall129818@direct.novanthealth.org
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- High Point, NC
- NPI 1053528463
-
- Anesthesiology Physician
- High Point, NC
- NPI 1750423901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1447215744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR STE 120",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036983",
"telephone_number": "336-768-3212",
"fax_number": "336-768-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR STE 120",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-768-3212",
"fax_number": "336-768-9019"
}
],
"practiceLocations": [
{
"address_1": "700 S Mills St",
"address_2": "St. Marys Hospital/Dean Medical Center",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151849",
"country_code": "US",
"telephone_number": "608-258-6975",
"fax_number": "608-258-5222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Mills St",
"address_2": "St. Marys Hospital/Dean Medical Center",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151849",
"country_code": "US",
"telephone_number": "608-258-6975",
"fax_number": "608-258-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCFALL",
"first_name": "MARY",
"middle_name": "F",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "146001-030",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "27197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44327600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "60251",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MMCFALL129818@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "700 S Mills St",
"address_2": "St. Marys Hospital/Dean Medical Center",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.