Kathleen Mabis

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

000000000000 Issued in VA

Practice address

860 Omni Blvd Ste 104
Newport News, VA 23606-4430

Phone

(757) 659-6285

NPI assigned

Jan 26, 2017

Last updated

Jan 15, 2025By 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 CO, WY, VA3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Virginia Commonwealth University, School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Frontier Anesthesia LLCGroup PAC ID 6507147717, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• SMG Anesthesia Specialists LLC

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1518205004
  Medicare reassignment Care Compare group NPD
• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  Medicare reassignment Care Compare group NPD
• Frontier Anesthesia LLC

  • Anesthesiologist Assistant
  • Cheyenne, WY
  • NPI 1568815843
  Medicare reassignment Care Compare group NPD
• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1992752521
  Medicare reassignment NPD
• Goodwin & Snyder Anesthesia Associates, PLLC

  • Certified Registered Nurse Anesthetist
  • Williamsburg, VA
  • NPI 1508391129

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643
  Medicare reassignment NPD
• Capital Digestive Care, LLC

  dba Capital Digestive Care- Princess Anne

  • Gastroenterology Physician
  • Virginia Beach, VA
  • NPI 1912193350
  NPD
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD
• Capital Digestive Care, LLC

  • Gastroenterology Physician
  • Temple Hills, MD
  • NPI 1437997988
  NPD
• Novamed Surgery Center of Colorado Springs, LLC

  dba Premier Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Colorado Springs, CO
  • NPI 1750386322
  NPD (past)
• Novamed Surgery Center of Denver LLC

  dba Cherry Hills Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
  • NPI 1508862624
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1801333984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-659-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-659-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N George Mason Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222052539",
            "country_code": "US",
            "telephone_number": "703-558-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABIS",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Jenay Lynch
• Petra S. Lynch, M.D.
• Anne Catherine Lynn, DDS
• Jason Eli Maas, MD, PHD
• Joel Verano Mabalot, MD
• Kelli Lyn Macadam, CNM
• Macgregor Enterprises LLC
• Steven E Mack, M.D.
• Tierra Mack, RBT
• Susan Elizabeth Mackel, MD

• Certified Registered Nurse Anesthetist in Newport News, VA
• Providers in Newport News, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.