Marilee Kristinea Faircloth Runge, MSN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

152495 Issued in NC

Practice address

3333 Silas Creek Parkway
Winston-Salem, NC 27103-3099

Phone

(336) 718-8278

Fax

(336) 718-9271

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marilee Kristenea Flaircloth Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Sedation Associates, LLCGroup PAC ID 9436649878, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAEGAA

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.

• Piedmont Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
  • NPI 1962399865

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Eagle Physicians and Associates PA

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1457436982
  Medicare reassignment NPD
• Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
  • NPI 1609833474

  NC

  Medicare reassignment
• Eagle Physicians and Associates PA

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1013086321
  NPD
• Eagle Physicians and Associates PA

  • Physical Therapist
  • Greensboro, NC
  • NPI 1790491751
  NPD

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1467762062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271035614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PARKWAY",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033099",
            "telephone_number": "336-718-8278",
            "fax_number": "336-718-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "MARILEE",
        "middle_name": "KRISTINEA FAIRCLOTH",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "152495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILEE",
            "last_name": "FLAIRCLOTH",
            "middle_name": "KRISTENEA",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dabney Elizabeth Ruffin
• Alfred J Rufty Jr., MD
• Rebecca Rugh-Webb, LPA
• Jimmy Ruiz, M.D.
• Katherine Dils Ruley, R.D., C.S.S.D.
• Andreas D Runheim, M.D.
• Christopher Michael Runyan, M.D., PH.D.
• Jeanne Runyan, BS, CPSS
• Benjamin Woodress Rush, MD
• Marie Cavalier Rush, PHARMD

• Certified Registered Nurse Anesthetist in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.