Individual provider Active NPI

Mary Katherine Brian, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Stewart, GA
National Provider Identifier
1699753277
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
663246 Issued in TX
Practice address
1061 Harmon Ave
Ste1Do3
Fort Stewart, GA 31314-5604
Phone
(912) 435-6683
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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 663246 TX Primary

Addresses

Primary practice location

1061 Harmon Ave
Ste1Do3
Fort Stewart, GA 31314-5604

Mailing address

1061 Harmon Ave
Ste1Do3
Fort Stewart, GA 31314-5604
Phone (912) 435-6683

Other names 1

  • Mary Katherine Hannon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002595 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638354970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chugach Anesthesia LLCGroup PAC ID 2961465653, 24 clinicians
Anesthesia Care Associates PCGroup PAC ID 0446244388, 40 clinicians

Practice addresses (Care Compare)

1230 Northway Dr
Anchorage, AK 99508-2031
Phone (907) 550-6100

2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6000

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
663246TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Chugach Anesthesia, LLC CurrentSince Sep 4, 2025 Accepting new patients
Anesthesia Care Associates, PC CurrentSince Aug 3, 2021 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients

Locations

1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 3

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 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1699753277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE1DO3",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE1DO3",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "663246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HANNON",
            "middle_name": "KATHERINE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.