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VI LY DNP, CRNA
NPI 1346810793
Nurse Anesthetist, Certified Registered in Baltimore, MD

Active since June 28, 2021Accepts Medicare Assignment
525 N WOLFE ST, BALTIMORE, MD 21205(410) 955-4766 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2025, Sep 6, 2023, Jun 28, 2021 (3 updates tracked since 2021).

About Vi Ly Dnp, Crna NPPES

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

VI LY DNP, CRNA (NPI 1346810793) is an individual nurse anesthetist, certified registered in Baltimore, Maryland, licensed in California (95002110) and active in the NPI registry since June 2021. He maintains a secondary practice location in Garden Grove and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346810793
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameVI LYCredential: DNP, CRNA
Location Address525 N WOLFE STBaltimore, MD 21205-2110
Mailing Address4983 Grand AveMontclair, CA 91763-6433 · (909) 630-8038
Phone(410) 955-4766
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 28, 2021
Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1346810793 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
License✔ Licensed in CA · 95002110
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 R242988 (MD)
525 N WOLFE ST, Baltimore, MD 21205
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Secondary Practice Location 1

Location 112827 Harbor Blvd Ste G1Garden Grove, CA 92840-5839 · Phone (714) 534-1685

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

Vi Ly Dnp, 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 ID6103270426
PECOS Enrollment IDI20230920002445

Medicare Billing Reassignments

3

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

Darin Rentz Do PC
2,266 mi
Anesthesiology
350 TERRACINA BLVD
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689321747 (877) 565-6701
Cep America - Anesthesia PC
2,304 mi
Anesthesiology
24451 HEALTH CENTER DR
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 833 clinicians in this Medicare group
NPI 1861373631 (949) 837-4500
Coachella Valley Anesthesia A Professional Corporation
2,330 mi
Anesthesiology
420 34TH ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 183 clinicians in this Medicare group
NPI 1013662048 (760) 538-5898

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 21205 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

SIMON CHU
Registered Nurse
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766
MISS IVIE ALOHAN RN
Registered Nurse
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766
JOYCE LEE BSN, RN
Registered Nurse
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766
JUBETH FONTANILLA
Nurse Practitioner (Adult Health)
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-7548
RACHEL DIONNE JONES
Nurse Anesthetist, Certified Registered
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766
SIGALIA TANENBAUM RN
Nurse Anesthetist, Certified Registered
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766
CARLOS GUTIERREZ CRNA
Nurse Anesthetist, Certified Registered
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766
JESSICA FERRARI RN
Registered Nurse
525 N WOLFE ST
BALTIMORE, MD 21205
Baltimore City (410) 955-4766

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 Vi Ly's NPI number?

The NPI number for Vi Ly is 1346810793. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Vi Ly located?

Vi Ly practices at 525 N Wolfe St, Baltimore, MD 21205. The listed phone number is (410) 955-4766.

What is Vi Ly's specialty?

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

Is Vi Ly enrolled in Medicare?

Yes. Vi Ly 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 Vi Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vi Ly reassigns Medicare benefits to 3 organizations: Darin Rentz Do PC (Redlands, CA), Cep America - Anesthesia PC (Laguna Hills, CA) and Coachella Valley Anesthesia A Professional Corporation (Bakersfield, CA). 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 Vi Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vi Ly was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.