Active NPI
Richard Maynard, CRNA
- Certified Registered Nurse Anesthetist
- Muscatine, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 108460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0418814 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Jackson County Public Hospital
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
- Trinity - Bettendorf
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108460 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Jackson County Public Hospital | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Apollo Anesthesia and Pain Management, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Unity Healthcare | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Jackson County Public Hospital | Current | 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
- richard.maynard@direct.genesishealth.com
- 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.
-
- Certified Registered Nurse Anesthetist
- Moline, IL
- NPI 1265051817
IA, IL, Nurse Anesthetist, Certified Registered
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maquoketa, IA
- NPI 1689705949
IA
-
- Anesthesiology Physician
- Des Moines, IA
- NPI 1023809076
-
- Skilled Nursing Facility
- Maquoketa, IA
- NPI 1164486551
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1447802400
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.