MRS. KRISTIN RENEE MABERRY CRNA NPI 1093750812

Nurse Anesthetist, Certified Registered in Belleville, IL

NPI 1093750812 Individual Female Years of Experience 30 Nurse Anesthetist, Certified Registered Accepts Medicare Approved Payment

About KRISTIN MABERRY

Kristin Maberry is a provider established in Belleville, Illinois and her medical specialization is nurse anesthetist, certified registered with more than 30 years of experience. The NPI number of Kristin Maberry is 1093750812 and was assigned on June 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an individual and her NPI record was last updated 15 years ago. Kristin Maberry is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1093750812

Provider NameMRS. KRISTIN RENEE MABERRY CRNA
Provider Location Address4500 MEMORIAL DR BELLEVILLE, IL 62226
Provider Mailing Address121 VALLEYWOOD CT BETHALTO, IL 62010
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1992
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-17-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License StateIL
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

MRS. KRISTIN RENEE MABERRY CRNA
4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-4076

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Mailing Address

MRS. KRISTIN RENEE MABERRY CRNA
121 VALLEYWOOD CT
BETHALTO, IL
ZIP 62010
Phone: (618) 377-7720



Medicare Participation

PECOS PAC ID1951301001
PECOS Enrollment IDI20070115000003
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 29Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 15Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 14Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristin Maberry is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEMORIAL HOSPITAL - SHILOH4500 MEMORIAL DRIVE
BELLEVILLE, IL 62226
(618) 233-7750Acute Care Hospitals140185

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689651184PREMIER INTERNAL MEDICINE LLC
Organization
Internal Medicine4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 476-9399
1780638932 BRIAN L MCELANEY MD
Individual
Radiology (Diagnostic Radiology)4500 MEMORIAL DR DEPT RADIOLOGY
BELLEVILLE, IL 62226
(618) 257-9567
1578510913 WALLACE M ANDERSON MD
Individual
Radiology (Diagnostic Radiology)4500 MEMORIAL DR DEPT RADIOLOGY
BELLEVILLE, IL 62226
(618) 257-9567
1033153929DR. PAUL D SANDER MD
Individual
Anesthesiology4500 MEMORIAL DR ANESTHESIA DEPT
BELLEVILLE, IL 62226
(618) 257-4076
1235174764ADVANCED DIAGNOSTIC IMAGING LTD
Organization
Radiology (Diagnostic Radiology)4500 MEMORIAL DR DEPT OF RADIOLOGY
BELLEVILLE, IL 62226
(618) 257-9567
1720011554 JAMES ALAN RENDER CRNA
Individual
Nurse Anesthetist, Certified Registered4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 233-7750
1689691289 PRISCILLA STITH P.A.-C, MS
Individual
Physician Assistant4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-4088
1285793026 CATHERINE ANN MITCHELL PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5053
1265594709MRS. BETH CHRISTINE YAGGE M.P.T.
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5250
1558410431MRS. KELLY SMITH MCCLINTON PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5265
1437203460MRS. BARBARA JEAN TUNCIL P.T.
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5296
1679613806MS. JOYCE ANN GOSCINSKI PT
Individual
Physical Therapist4500 MEMORIAL DR MEMORIAL HOSPITAL
BELLEVILLE, IL 62226
(618) 257-5257
1164562906DR. DJIBY DIOP M.D.
Individual
Emergency Medicine4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5879
1265574289MRS. CAROL ANN SAUERWEIN PHYSICAL THERAPIST
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5297
1285776203 PATRICIA A. BIASBAS PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5250
1720121064MRS. MARIA ANNE ROSS PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5259
1275677668 KIMBERLY MARIE HUELSMANN OT
Individual
Occupational Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5238
1366574352 CYNTHIA LOUISE GLAENZER PT CHT
Individual
Physical Therapist4500 MEMORIAL DR MEDICAL BUILDING 1 SUITE 470
BELLEVILLE, IL 62226
(618) 257-5249
1457471583 MICHELLE LYNN WESSEL P.T.
Individual
Specialist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5266
1548473853 BRIAN TIMOTHY MCANULTY CRNA
Individual
Nurse Anesthetist, Certified Registered4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 233-7750

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.