Individual provider Active NPI

Mary Purtle, CRNA

  • Certified Registered Nurse Anesthetist
  • Hermitage, TN
National Provider Identifier
1679770630
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000028347 Issued in TN
Practice address
5653 Frist Blvd Ste 532
Hermitage, TN 37076-2067
Phone
(615) 541-1600
NPI assigned
Jul 2, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 RN167371 GA
Certified Registered Nurse Anesthetist 367500000X APN0000028347 TN Primary

Addresses

Primary practice location

5653 Frist Blvd Ste 532
Hermitage, TN 37076-2067

Mailing address

1A Burton Hills Blvd Ste 30
Nashville, TN 37215-6100
Phone (877) 299-8674

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029000121 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577550813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Anesthesia PLLCGroup PAC ID 1557350501, 62 clinicians
Amsurg Hermitage Anesthesia, LLCGroup PAC ID 7315160793, 3 clinicians

Practice addresses (Care Compare)

391 Wallace Rd
Nashville, TN 37211-4851
Phone (954) 939-5000

5653 Frist Blvd
Hermitage, TN 37076-2062
Phone (615) 316-3066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN167371GAMDCertified Registered Nurse Anesthetist
APN0000028347TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Hermitage Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 12, 2020 Accepting new patients
Ddec Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Past Accepting new patients
Digestive Disease Endoscopy Center Inc. Past Accepting new patients

Locations

5653 Frist Blvd
Hermitage, TN 37076
Phone (615) 232-8812

5653 Frist Blvd
Ste 532
Hermitage, TN 37076
Phone (615) 316-3066

1A Burton Hills Blvd
Ste 30
Nashville, TN 37215

222 22nd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 340-4629

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1679770630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 30",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156100",
            "telephone_number": "877-299-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 532",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762067",
            "telephone_number": "615-541-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTLE",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN167371",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000028347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.