Individual provider Active NPI

Elizabeth Anne Mulkerrin, CRNA

  • Certified Registered Nurse Anesthetist
  • Daly City, CA
National Provider Identifier
1447302120
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA1777 Issued in CA
Practice address
901 Campus Drive
Suite 102
Daly City, CA 94015
Phone
(415) 642-0707
Fax
(650) 755-8638
NPI assigned
Jan 16, 2007
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 472231 CA
Certified Registered Nurse Anesthetist 367500000X 4704138392 MI
Certified Registered Nurse Anesthetist 367500000X NA1777 CA Primary

Addresses

Primary practice location

901 Campus Drive
Suite 102
Daly City, CA 94015

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-2000

Other practice location 2

1700 Clinton St
Muskegon, MI 49442-5502
Phone (231) 726-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080304000873 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123036746 Reassigns benefits to 2 organizations
I20100706000775 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123036746 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

1860 El Camino Real
Suite 101
Burlingame, CA 94010-3106
Phone (650) 756-5000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NA1777CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pontine Incorporated CurrentSince Apr 13, 2021 Accepting new patients
Baec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2019 Accepting new patients
Empire Anesthesia Inc CurrentSince Nov 18, 2019 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation CurrentSince Dec 1, 2013 Accepting new patients
Silicon Valley Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2024 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
La Jolla Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Premier Anesthesia of California, PC Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2018 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2021 Accepting new patients
Amsurg Marin Anesthesia LP CurrentSince Mar 18, 2017 Accepting new patients
Palm Springs Anesthesia Services, PC Past Accepting new patients
Marin Endoscopy Center, LLC PastSince Mar 18, 2017 Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Allen Lavee MD, Inc. Past Accepting new patients
Mountain Anesthesia Care Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1860 El Camino Real
Ste 1
Burlingame, CA 94010
Phone (650) 756-5000

1860 El Camino Real
Ste 101
Burlingame, CA 94010
Phone (650) 552-0700

20400 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 538-9900

901 Campus Dr
Ste 102
Daly City, CA 94015
Phone (650) 991-2000

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

9850 Genesee Ave
Ste 980
La Jolla, CA 92037
Phone (858) 453-7525

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

5974 Pentz Rd
#1112
Paradise, CA 95969

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

5924 Stoneridge Dr
Ste 206
Pleasanton, CA 94588
Phone (925) 469-9120

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

2340 Montpelier Dr
San Jose, CA 95116
Phone (408) 515-2428

235 Oconnor Dr
San Jose, CA 95128
Phone (408) 279-0791

2089 Vale Rd
Ste 33
San Pablo, CA 94806
Phone (510) 234-5012

5201 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 872-1700

2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1006 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-2800

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

3601 W 13 Mile Rd
Royal Oak, MI 48073

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1447302120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "SUITE 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "415-642-0707",
            "fax_number": "650-755-8638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441849",
            "country_code": "US",
            "telephone_number": "231-672-2000",
            "fax_number": "844-454-0171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425502",
            "country_code": "US",
            "telephone_number": "231-726-3511",
            "fax_number": "844-454-0171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULKERRIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "472231",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704138392",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.