Individual provider Active NPI

Anthony Mathenge, APRN-CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1487223095
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020322 Issued in OH
Practice address
410 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-8487
Fax
(614) 293-8153
NPI assigned
Jun 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 APRN.CRNA.0020322 OH Primary

Addresses

Primary practice location

410 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8487

Other practice location 1

1106 Colegate DR
Marietta, OH 45750-1323
Phone (740) 568-2000

Other practice location 2

401 Matthew ST
Marietta, OH 45750-1635
Phone (740) 568-5427

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anesthesia.providers@mmhs.medicity.net
Direct Messaging Address anesthesia.providers@mmhs.medicity.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210716001792 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618379348 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians
Osu Observation Medicine, LLCGroup PAC ID 3375692270, 423 clinicians
Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1623

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8487

6001 E Broad St
Columbus, OH 43213-1502
Phone (678) 690-7808

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Aug 23, 2025 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Jul 6, 2021 Accepting new patients
Marietta Memorial Hospital CurrentSince Dec 12, 2025 Accepting new patients
Marietta Memorial Hospital CurrentSince Dec 12, 2025 Accepting new patients

Locations

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

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

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

2610 N Limestone St
Springfield, OH 45503
Phone (614) 352-6479

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1487223095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Colegate DR",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501323",
            "country_code": "US",
            "telephone_number": "740-568-2000",
            "fax_number": "740-568-2094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew ST",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-568-5427",
            "fax_number": "740-376-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHENGE",
        "first_name": "ANTHONY",
        "credential": "APRN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anesthesia.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1106 Colegate DR",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anesthesia.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew ST",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.