MARIAM MUSTAPHA CRNA
NPI 1376221739
Nurse Anesthetist, Certified Registered in Loganville, GA
About Mariam Mustapha Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM MUSTAPHA CRNA (NPI 1376221739) is an individual nurse anesthetist, certified registered in Loganville, Georgia, licensed in Georgia (RN275428) and active in the NPI registry since July 2023. She is affiliated with Piedmont Rockdale Hospital and is a graduate of Other.
NPPES Registry Identity
Specialties & Licenses
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
Mariam Mustapha 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mariam Mustapha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 111 clinicians in this Medicare group
Lawrenceville, GA 30043
- Reassigned Medicare billing, Georgia enrollment
- 76 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Rockdale Hospital
Acute Care Hospitals · Conyers, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mariam Mustapha's NPI number?
The NPI number for Mariam Mustapha is 1376221739. It was assigned to this individual provider in the NPPES registry on July 6, 2023.
Where is Mariam Mustapha located?
Mariam Mustapha practices at 624 Henson Farm Dr, Loganville, GA 30052. The listed phone number is (678) 709-9828.
What is Mariam Mustapha's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mariam Mustapha enrolled in Medicare?
Yes. Mariam Mustapha 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 Mariam Mustapha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Mustapha reassigns Medicare benefits to 3 organizations: Sg Anesthesia LLC (Lawrenceville, GA), Sleep Ezzy (Lawrenceville, GA) and Piedmont Anesthesia LLC (Stockbridge, GA). 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 Mariam Mustapha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mariam Mustapha accept?
Health plans from Alliant Health Plans, Inc. list Mariam Mustapha 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 Mariam Mustapha affiliated with any hospitals?
According to CMS data, Mariam Mustapha is affiliated with Piedmont Rockdale Hospital.
When was this NPI record last updated?
The NPPES record for Mariam Mustapha was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mariam Mustapha, CRNA · NPI 1376221739
Nurse Anesthetist, Certified Registered physician in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since July 6, 2023.
## Identity
- **NPI:** 1376221739 (Entity type: Individual)
- **Enumerated:** July 6, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN275428 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 624 HENSON FARM DR, Loganville, GA 30052-6528
- **Phone:** (678) 709-9828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sg Anesthesia LLC (NPI 1053750646, Lawrenceville, GA); Sleep Ezzy (NPI 1154852820, Lawrenceville, GA); Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376221739) · Data from the CMS NPPES public registry.