MARY K KING CRNA
NPI 1245268481
Nurse Anesthetist, Certified Registered in Bristol, TN

Active since June 28, 2006
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary K King Crna NPPES

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

MARY K KING CRNA (NPI 1245268481) is an individual nurse anesthetist, certified registered in Bristol, Tennessee, licensed in Tennessee (47793) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1245268481
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY K KINGCredential: CRNA
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address105 W Stone Dr, Suite 6aKingsport, TN 37660-3365 · (423) 408-7220 · Fax (423) 408-7405
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 29, 2014
✔ NPI 1245268481 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 TN · 47793
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.
1 MEDICAL PARK BLVD, Bristol, TN 37620

Other Identifiers 1

Medicare PIN103I436559TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary K King Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Mary King reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
3185 W STATE ST STE 2020
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
Pulmonary Disease
350 BLOUNTVILLE HWY STE 106
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
Anesthesiology
10415 WALLACE ALLEY ST
Kingsport, TN 37663
  • Reassigned Medicare billing, Tennessee enrollment
  • 294 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.

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
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620

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 King's NPI number?

The NPI number for Mary King is 1245268481. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Mary King located?

Mary King practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Mary King's specialty?

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

Is Mary King enrolled in Medicare?

Yes. Mary King is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary King reassigns Medicare benefits to 3 organizations: Innovative Surgical Solutions, PLLC (Bristol, TN), Wellmont Medical Associates Inc (Bristol, TN) and Paragon Anesthesia PC (Kingsport, TN). 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 King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary King accept?

Health plans from Cigna Healthcare list Mary King 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 King was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.