Individual provider Active NPI

Mary Beth Zazzera, CRNA

  • Certified Registered Nurse Anesthetist
  • Montrose, PA
National Provider Identifier
1962498808
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
48112 Issued in PA
Practice address
210 Loomis Rd
Montrose, PA 18801-9387
Phone
(570) 313-5584
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 514096 NY
Registered Nurse 163W00000X RN333763L PA
Certified Registered Nurse Anesthetist 367500000X 48112 PA Primary

Addresses

Primary practice location

210 Loomis Rd
Montrose, PA 18801-9387

Mailing address

210 Loomis Rd
Montrose, PA 18801-9387
Phone (570) 313-5584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110000111 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961588736 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

196 N St
Geneva, NY 14456-1651
Phone (315) 787-5355

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Corning Hospital Hospital, Corning, NY, CCN 330277

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
514096NYMDRegistered Nurse
48112PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital, Inc Current Accepting new patients
Cayuga Medical Associates, PC CurrentSince Jun 1, 2023 Accepting new patients
Geneva General Hospital Inc CurrentSince Apr 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 20, 2025 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2026 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 20, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince May 6, 2018 Accepting new patients
Geneva General Hospital, Inc CurrentSince Apr 1, 2025 Accepting new patients
Mount Nittany Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Mountain Laurel Surgery Center, LLC PastSince May 20, 2016 Accepting new patients
Professional Anesthesia Providers, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

196 North St
Geneva, NY 14456
Phone (315) 787-4156

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

400 W Commons Way
Johnson City, NY 13790

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

Interoperability endpoints

  • Direct secure messaging: mzazzera27314@direct.xtensys.com

Organizations & group practices 11

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 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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1962498808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LOOMIS RD",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188019387",
            "telephone_number": "570-313-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LOOMIS RD",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188019387",
            "telephone_number": "570-313-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAZZERA",
        "first_name": "MARY BETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "514096",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN333763L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "48112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.