Active NPI
Mary Kathryn Nentwig, CRNA
- Certified Registered Nurse Anesthetist
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9496801
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3687 - Phone
- (352) 273-8610
- Fax
- (352) 273-8612
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN247765L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9496801 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3687
Mailing address
PO Box 100254
Gainesville, FL 32610-0254
Phone (352) 273-8610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101904300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1503 N Cedar Crest Blvd
Allentown, PA 18104-2310
Phone (610) 861-8080
2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9496801 | FL | MD | Certified Registered Nurse Anesthetist |
| RN247765L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Professional Anesthesia Services of North America P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of North America, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
219 S Balliet St
Frackville, PA 17931
Phone (570) 874-3404
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
Nurse Anesthetist, Certified Registered
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Anesthesiology Physician
- Easton, PA
- NPI 1720786445
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1699852210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100254",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100254",
"telephone_number": "352-273-8610",
"fax_number": "352-273-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103687",
"telephone_number": "352-273-8610",
"fax_number": "352-273-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NENTWIG",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN247765L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9496801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101904300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Nema Home Health Care LLC
- Nema Home Health Care LLC
- Nema Home Health Care LLC
- Nema Medical Group LLC
- Kelly Ann Nenezian, LMHC
- Nephrology Associates of North Central Florida P a
- Nephrology Medical Associates of Georgia LLC (North Florida Kidney Care)
- Camila Nepomuceno
- Nes of Florida Inc
- Nes of Northern Florida Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.