Individual provider Active NPI

Merandah Marie Tokarz, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Wayne, IN
National Provider Identifier
1932886728
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28248588A Issued in IN
Practice address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone
(260) 228-0811
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28248588A IN
Certified Registered Nurse Anesthetist 367500000X 28248588A IN Primary

Addresses

Primary practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160

Mailing address

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917003138 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517408669 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Nursing Anesthesia IncGroup PAC ID 9436459278, 43 clinicians

Practice addresses (Care Compare)

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131

Hospital & facility affiliations

  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28248588AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Aug 29, 2024 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Sep 6, 2024 Accepting new patients
Mission Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2024 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2025 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Aug 29, 2024 Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1932886728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044160",
            "telephone_number": "260-228-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKARZ",
        "first_name": "MERANDAH",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28248588A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28248588A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.