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WAYNE MAVELLIA II CRNA
NPI 1598524076
Nurse Anesthetist, Certified Registered in Statesville, NC

Active since March 18, 2024Accepts Medicare Assignment
557 BROOKDALE DR, STATESVILLE, NC 28677(704) 873-5661 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wayne Mavellia Ii Crna NPPES

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

WAYNE MAVELLIA II CRNA (NPI 1598524076) is an individual nurse anesthetist, certified registered in Statesville, North Carolina, licensed in North Carolina (7744) and active in the NPI registry since March 2024. He is affiliated with Iredell Memorial Hospital Inc and is a graduate of Other (2024).

NPPES Registry Identity

NPI1598524076
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWAYNE MAVELLIA IICredential: CRNA
Location Address557 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address557 Brookdale DrStatesville, NC 28677-4107
Phone(704) 873-5661
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2024
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1598524076 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 NC · 7744
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.
557 BROOKDALE DR, Statesville, NC 28677
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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

Wayne Mavellia Ii 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 ID2769964832
PECOS Enrollment IDI20260306002369

Medicare Billing Reassignments

2

Medicare enrollment records show Wayne Mavellia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iredell Memorial Hospital, Incorporated
Same address
General Acute Care Hospital
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 51 clinicians in this Medicare group
NPI 1548230204 (704) 873-5661
Iredell Physician Network LLC
Same address
Specialist
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 116 clinicians in this Medicare group
NPI 1013941145 (704) 873-5661

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.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

IREDELL PHYSICIAN NETWORK LLC
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SHANNAN LAWRENCE
Physical Therapist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
CECILIA KAECHELE NP
Nurse Practitioner (Adult Health)
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 997-5525
KAREN KAUFFMAN CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
BARBARA LEE THOMAS CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
IMH PROF INFECT DISEASE
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
STACEY SCHLESINGER CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SYLVIA SELF CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661

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 Wayne Mavellia's NPI number?

The NPI number for Wayne Mavellia is 1598524076. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Wayne Mavellia located?

Wayne Mavellia practices at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 873-5661.

What is Wayne Mavellia's specialty?

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

Is Wayne Mavellia enrolled in Medicare?

Yes. Wayne Mavellia 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 Wayne Mavellia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Mavellia reassigns Medicare benefits to 2 organizations: Iredell Memorial Hospital, Incorporated (Statesville, NC) and Iredell Physician Network LLC (Statesville, NC). 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 Wayne Mavellia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Wayne Mavellia affiliated with any hospitals?

According to CMS data, Wayne Mavellia is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Wayne Mavellia was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.