MARY ANIBUALI CRNA
NPI 1124597000
Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX

Active since November 20, 2018Accepts Medicare Assignment
90.11/100
CMS Quality Rating
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 916-7500 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, Dec 27, 2022, Nov 20, 2018 (3 updates tracked since 2018).

About Mary Anibuali Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANIBUALI CRNA (NPI 1124597000) is an individual nurse anesthetist, certified registered in Fort Sam Houston, Texas, licensed in Texas (1127831) and active in the NPI registry since November 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1124597000
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY ANIBUALICredential: CRNA
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 916-7500
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 20, 2018
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1124597000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 1127831
Definition
(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.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Anibuali Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072850007
PECOS Enrollment IDI20231116001609

Medicare Billing Reassignments

8

Medicare enrollment records show Mary Anibuali reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8140 N MOPAC EXPY STE 3-210
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 840 clinicians in this Medicare group
Anesthesiology
11111 KATY FREEWAY, SUITE 910 - #0274
Houston, TX 77079
  • Reassigned Medicare billing, Texas enrollment
  • 95 clinicians in this Medicare group
Anesthesiology
6200 SAVOY DR STE 1202
Houston, TX 77036
  • Reassigned Medicare billing, Texas enrollment
  • 122 clinicians in this Medicare group
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, West Virginia enrollment
  • 87 clinicians in this Medicare group
Anesthesiology
3000 S JAMAICA CT STE 140
Aurora, CO 80014
  • Reassigned Medicare billing, Texas enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, West Virginia enrollment
  • 108 clinicians in this Medicare group
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
84 BROOKSHIRE LN
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Anibuali's NPI number?

The NPI number for Mary Anibuali is 1124597000. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Mary Anibuali located?

Mary Anibuali practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-7500.

What is Mary Anibuali's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mary Anibuali enrolled in Medicare?

Yes. Mary Anibuali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Anibuali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Anibuali reassigns Medicare benefits to 8 organizations: Austin Anesthesiology Group, PLLC (Austin, TX), Harris County Med Surg Partners PLLC (Houston, TX), Houston Anesthesia Services PLLC (Houston, TX), Medstream Anesthesia PLLC (Richardson, TX), Cpr Anesthesia, Inc (Aurora, CO) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Anibuali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Anibuali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Mary Anibuali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Anibuali was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.