MARYANNE WAUGH RUTZ
NPI 1558005264
Nurse Anesthetist, Certified Registered in Buffalo, NY

Active since April 27, 2022Accepts Medicare Assignment
2950 ELMWOOD AVE, BUFFALO, NY 14217(785) 640-8252 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2022, Apr 27, 2022 (2 updates tracked since 2022).

About Maryanne Waugh Rutz NPPES

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

MARYANNE WAUGH RUTZ (NPI 1558005264) is an individual nurse anesthetist, certified registered in Buffalo, New York, licensed in New York (766207) and active in the NPI registry since April 2022. She is affiliated with Sisters Of Charity Hospital, maintains a secondary practice location in Buffalo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558005264
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARYANNE WAUGH RUTZ
Location Address2950 ELMWOOD AVEBuffalo, NY 14217-1304
Mailing Address136 Woodward DrBuffalo, NY 14224-3532 · (785) 640-8252
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 27, 2022
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1558005264 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 NY · 766207
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 ListedSpecialistTaxonomy 174400000X
2950 ELMWOOD AVE, Buffalo, NY 14217

Other Names 1

Former Name (1)Mary Anne Rutz

Secondary Practice Location 1

Location 1818 Ellicott StBuffalo, NY 14203-1021 · Phone (785) 640-8252

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

Maryanne Waugh Rutz 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 ID6800274747
PECOS Enrollment IDI20220603002150

Medicare Billing Reassignment

Medicare enrollment records show Maryanne Rutz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
818 ELLICOTT ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 182 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 2

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Physician Assistant (Surgical)
2950 ELMWOOD AVE
KENMORE, NY 14217
Physician Assistant
2950 ELMWOOD AVE
KENMORE, NY 14217
Nurse Anesthetist, Certified Registered
2950 ELMWOOD AVE
KENMORE, NY 14217
Radiology (Vascular & Interventional Radiology)
2950 ELMWOOD AVE
BUFFALO, NY 14217
Pharmacist
2950 ELMWOOD AVE
BUFFALO, NY 14217
Internal Medicine (Pulmonary Disease)
2950 ELMWOOD AVE
KENMORE, NY 14217
Pharmacist
2950 ELMWOOD AVE
KENMORE, NY 14217
General Acute Care Hospital
2950 ELMWOOD AVE
KENMORE, NY 14217

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 Maryanne Rutz's NPI number?

The NPI number for Maryanne Rutz is 1558005264. It was assigned to this individual provider in the NPPES registry on April 27, 2022. The provider is also known as Mary Anne Rutz.

Where is Maryanne Rutz located?

Maryanne Rutz practices at 2950 Elmwood Ave, Buffalo, NY 14217. The listed phone number is (785) 640-8252.

What is Maryanne Rutz's specialty?

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

Is Maryanne Rutz enrolled in Medicare?

Yes. Maryanne Rutz 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 organization bills Medicare for Maryanne Rutz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryanne Rutz reassigns Medicare benefits to Great Lakes Anesthesiology, PC (Buffalo, NY). The 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 Maryanne Rutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maryanne Rutz affiliated with any hospitals?

According to CMS data, Maryanne Rutz is affiliated with Sisters Of Charity Hospital and Kenmore Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Maryanne Rutz was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.