Active NPI
Mary Beth Zazzera, CRNA
- Certified Registered Nurse Anesthetist
- Montrose, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 48112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
- Corning Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 514096 | NY | MD | Registered Nurse |
| 48112 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva General Hospital, Inc | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Geneva General Hospital Inc | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Geneva General Hospital, Inc | Current | Accepting new patients | |
| Mount Nittany Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mountain Laurel Surgery Center, LLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Emergency Medicine Physician
- Geneva, NY
- NPI 1487797080
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
Nurse Anesthetist, Certified Registered, NY
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Anesthesiology Physician
- Geneva, NY
- NPI 1578748364
-
- Family Medicine Physician
- Clyde, NY
- NPI 1255087003
-
- Anesthesiology Physician
- State College, PA
- NPI 1528321015
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Honesdale, PA
- NPI 1518916758
-
- Certified Registered Nurse Anesthetist
- Shavertown, PA
- NPI 1578542403
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
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.