Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MARK ANDREW WATERMAN CRNA
NPI 1144553132
Nurse Anesthetist, Certified Registered in Saint Paul, MN

Q: What is Mark Waterman's NPI number?

The NPI number for Mark Waterman is 1144553132. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Q: What is Mark Waterman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Waterman was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since September 09, 2009

155 RADIO DR, SAINT PAUL, MN 55125(952) 831-8742(952) 831-1626 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Mr. Mark Andrew Waterman Crna NPPES

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

MR. MARK ANDREW WATERMAN CRNA (NPI 1144553132) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (3295) and active in the NPI registry since September 2009. He is affiliated with Jackson County Memorial Hospital Authority and is a graduate of Other (2009).

NPPES Registry Identity

NPI1144553132

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. MARK ANDREW WATERMANCredential: CRNA

Location Address155 RADIO DRSaint Paul, MN 55125-2619

Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (952) 883-6000

Phone(952) 831-8742

Fax(952) 831-1626

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 9, 2009

Last NPPES UpdateSeptember 16, 2026

NPPES CertifiedSeptember 16, 2026

✔ NPI 1144553132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MN · 3295✔ Licensed in WI · 7366-33✔ Licensed in OK · 96660

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 166438-30 (WI), 1668700 (MN)

155 RADIO DR, Saint Paul, MN 55125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Andrew Waterman 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 ID8820135254

PECOS Enrollment IDI20161118000938, I20260413002628

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

20 services20 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

19 services19 patients

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

12 services12 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

11 services11 patients

Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance 64488

This procedure involves injecting a local anesthetic into the abdominal wall to manage pain. It's carried out on both sides of the abdomen using imaging guidance for precision. This helps numb the area, providing relief from discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370022

Location1200 East Pecan StAltus, OK 73521 · Jackson County

Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521335

Location405 Stageline RoadHudson, WI 54016 · St. Croix County

Emergency services Birthing friendly

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521347

Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County

Emergency services

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.

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