Mary Genevieve D'Agostino, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN559969 Issued in PA

Practice address

2655 Northwinds Parkway
Premier Anesthesia
Alpharetta, GA 30009

Phone

(877) 742-0399

NPI assigned

Jun 3, 2011

Last updated

Apr 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NCB Anesthesia Associates, LLCGroup PAC ID 1557726130, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• NCB Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Newark, DE
  • NPI 1962102582

  PA

  Medicare reassignment Care Compare group NPD
• North American Partners in Anesthesia, Pennsylvania , LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1639137854

  Nurse Anesthetist, Certified Registered, PA

  Medicare reassignment NPD
• Orthomed Staffing LLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1225514276

  PA

  Medicare reassignment NPD
• WCS Sedation, LLC

  • Certified Registered Nurse Anesthetist
  • West Chester, PA
  • NPI 1164925558

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• TPS II of PA, LLC

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1760775282

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Premier Anesthesia of Pennsylvania PC

  • Anesthesiology Physician
  • Drexel Hill, PA
  • NPI 1831493865

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1780978072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 IRVINGTON PL",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135216",
            "telephone_number": "484-678-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PARKWAY",
            "address_2": "PREMIER ANESTHESIA",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "877-742-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "MARY",
        "middle_name": "GENEVIEVE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN559969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom Ocular Prosthetics Inc
• Selig Abraham Cynman, M.D.
• Cytometry Specialists, Inc.
• D & C Medical Diagnostic Services, LLC
• D.a.H. Best Healthcare Services and Consulting LLC
• Mary Frances D'Ambrisi, LPC
• Lauren McCutchen Dack, LPC, LMFT
• Courtney Dailey, SLP
• Lacy Dake
• Mary Catherine Daker, RN, CNM

• Certified Registered Nurse Anesthetist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.