Individual provider Active NPI

Mary Szulakowski, CRNA

  • Certified Registered Nurse Anesthetist
  • Salt Lake City, UT
National Provider Identifier
1578214995
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11248132-4406 Issued in UT
Practice address
1050 E South Temple
Salt Lake City, UT 84102-1507
Phone
(801) 350-4111
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 10029356CRNA OR
Certified Registered Nurse Anesthetist 367500000X 11248132-4406 UT Primary

Addresses

Primary practice location

1050 E South Temple
Salt Lake City, UT 84102-1507

Mailing address

5572 S Marshwood LN Unit H
Murray, UT 84107-6460
Phone (913) 375-6484

Other practice location 1

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mszulakowski304085@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CA, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220516001449 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678950599 Reassigns benefits to 1 organization
I20230113002179 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678950599 Reassigns benefits to 4 organizations
I20241023003875 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678950599 Reassigns benefits to 2 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
Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001923CAMDAdult Health Nurse Practitioner
10029356CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Jun 1, 2024 Accepting new patients
Comfort Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 27, 2023 Accepting new patients
First Choice Physician Partners CurrentSince Jun 1, 2024 Accepting new patients
Grand River Hospital District Current Accepting new patients
Grand River Hospital District CurrentSince Dec 6, 2024 Accepting new patients
Grand River Hospital District CurrentSince Dec 6, 2024 Accepting new patients
NPH Anesthesia of Utah, LLC CurrentSince Jan 20, 2022 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Sound Physicians Anesthesiology of California PC Nurse Anesthetist, Certified Registered CurrentSince Nov 28, 2022 Accepting new patients
Concierge Anesthesia CurrentSince Feb 1, 2024 Accepting new patients
Cardinal Pathology PC Current Accepting new patients
Grand River Hospital District Current Accepting new patients

Locations

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

3921 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 940-6300

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Interoperability endpoints

  • Direct secure messaging: mszulakowski304085@samhealth.direct-ci.com
  • Direct secure messaging: mszulakowski837467@direct.llu.edu

Organizations & group practices 12

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1578214995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5572 S MARSHWOOD LN UNIT H",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076460",
            "telephone_number": "913-375-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTH TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021507",
            "telephone_number": "801-350-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZULAKOWSKI",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10029356CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "11248132-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mszulakowski304085@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.