Individual provider Active NPI

Maria Luz Bolyard, CRNA

  • Certified Registered Nurse Anesthetist
  • Decatur, AL
National Provider Identifier
1598804700
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-087717 Issued in AL
Practice address
1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone
(256) 301-3340
Fax
(256) 301-3407
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1-087717 AL Primary

Addresses

Primary practice location

1874 Beltline Rd SW
Decatur, AL 35601-5514

Mailing address

1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone (256) 301-3340

Other identifiers 1

IdentifierTypeStateIssuer
1-087717OtherALALABAMA STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001548 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749372696 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Anesthesia Services PCGroup PAC ID 8123081429, 43 clinicians

Practice addresses (Care Compare)

460 Lanier Rd
Suite 100
Madison, AL 35758-2632
Phone (256) 319-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-087717ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Jan 1, 2022 Accepting new patients
Crna Services of DGH Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2013 Accepting new patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2014 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598804700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-301-3340",
            "fax_number": "256-301-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-301-3340",
            "fax_number": "256-301-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLYARD",
        "first_name": "MARIA",
        "middle_name": "LUZ",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-087717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE",
            "identifier": "1-087717",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.