Individual provider Active NPI

Richard Maynard, CRNA

  • Certified Registered Nurse Anesthetist
  • Muscatine, IA
National Provider Identifier
1922087196
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
108460 Issued in IA
Practice address
1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone
(563) 264-9100
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 108460 IA Primary

Addresses

Primary practice location

1518 Mulberry Ave
Muscatine, IA 52761-3433

Mailing address

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 264-9100

Other identifiers 1

IdentifierTypeStateIssuer
0418814MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100914000486 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628193679 Reassigns benefits to 5 organizations
I20160126002059 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628193679 Reassigns benefits to 4 organizations
I20170120001265 IA Practitioner - Nurse Practitioner 8628193679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Center, AledoGroup PAC ID 7315190436, 17 clinicians
Apollo Anesthesia and Pain Management PLLCGroup PAC ID 9133550544, 27 clinicians
Jackson County Public HospitalGroup PAC ID 1254248958, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

409 NW 9TH Ave
Suite 100
Aledo, IL 61231-1258
Phone (309) 582-9440

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

601 Hospital Dr
Maquoketa, IA 52060-1201
Phone (563) 652-2474

Hospital & facility affiliations

  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108460IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Center, Aledo CurrentSince Jan 15, 2016 Accepting new patients
Unity Healthcare CurrentSince Mar 25, 2003 Accepting new patients
Genesis Medical Center, Aledo Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Jun 2, 2025 Accepting new patients
Unity Healthcare Current Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jan 15, 2016 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Aug 1, 2018 Accepting new patients
Jackson County Public Hospital CurrentSince Aug 22, 2024 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jun 2, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Apollo Anesthesia and Pain Management, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Unity Healthcare CurrentSince Mar 25, 2003 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Aug 1, 2018 Accepting new patients
Jackson County Public Hospital CurrentSince Aug 22, 2024 Accepting new patients
Cep America - Anesthesia PC Current Accepting new patients
Jackson County Public Hospital Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

2300 53rd Ave
Bettendorf, IA 52722
Phone (563) 332-4422

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

409 NW 9th Ave
Ste 100
Aledo, IL 61231
Phone (309) 582-9440

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

520 Valley View Dr
Ste 300
Moline, IL 61265
Phone (309) 762-1952

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: richard.maynard@direct.genesishealth.com
  • Direct secure messaging: rmaynard158661@direct.unitypoint.org

Organizations & group practices 16

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.

View all 16

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922087196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "108460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418814",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.