MARY C PHUNG CRNA
NPI 1265841589
Nurse Anesthetist, Certified Registered in Beaver Dam, WI

Active since August 12, 2014Accepts Medicare Assignment
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-7181 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary C Phung Crna NPPES

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

MARY C PHUNG CRNA (NPI 1265841589) is an individual nurse anesthetist, certified registered in Beaver Dam, Wisconsin, licensed in Wisconsin (5896) and active in the NPI registry since August 2014. She is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), maintains a secondary practice location in Berlin, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265841589
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY C PHUNGCredential: CRNA
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing Address707 S University AveBeaver Dam, WI 53916-3027 · (920) 887-7181
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 12, 2014
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedAugust 14, 2023
NPI 1265841589 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 WI · 5896
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.

707 S UNIVERSITY AVE, Beaver Dam, WI 53916

Other Names 1

Former Name (1)Mary C Sherman

Secondary Practice Location 1

Location 1225 Memorial DrBerlin, WI 54923-1243 · Phone (920) 361-5538 · Fax (920) 361-5499

Other Identifiers 1

Medicaid1265841589WI

Accepted 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

Mary C Phung 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 ID8224257993
PECOS Enrollment IDI20140910002123

Areas of Expertise CMS Part B claims

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 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Emergency Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Practitioner (Family)
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Occupational Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Orthopaedic Surgery
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Otolaryngology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Emergency Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Practitioner (Family)
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916

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 Phung's NPI number?

The NPI number for Mary Phung is 1265841589. It was assigned to this individual provider in the NPPES registry on August 12, 2014. The provider is also known as Mary C Sherman.

Where is Mary Phung located?

Mary Phung practices at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-7181.

What is Mary Phung's specialty?

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

Is Mary Phung enrolled in Medicare?

Yes. Mary Phung 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.

What insurance does Mary Phung accept?

Health plans from CareSource (Common Ground Healthcare) and Sanford Health Plan list Mary Phung 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.

Is Mary Phung affiliated with any hospitals?

According to CMS data, Mary Phung is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Mary Phung was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.