MRS. MARY ANNE MEDLOCK CRNA
NPI 1629068507
Nurse Anesthetist, Certified Registered in Cincinnati, OH
About Mrs. Mary Anne Medlock Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY ANNE MEDLOCK CRNA (NPI 1629068507) is an individual nurse anesthetist, certified registered in Cincinnati, Ohio, licensed in Ohio (202765) and active in the NPI registry since October 2005. She is affiliated with St Elizabeth Dearborn Hospital and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Mrs. Mary Anne Medlock 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 Reassignment
Medicare enrollment records show Mary Medlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Montgomery, OH 45242
- Reassigned Medicare billing, Indiana enrollment
- 49 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Dearborn Hospital
Acute Care Hospitals · Lawrenceburg, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CINCINNATI, OH 45212
CINCINNATI, OH 45212
CINCINNATI, OH 45212
CINCINNATI, OH 45212
CINCINNATI, OH 45212
CINCINNATI, OH 45212
CINCINNATI, OH 45212
CINCINNATI, OH 45212
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 Medlock's NPI number?
The NPI number for Mary Medlock is 1629068507. It was assigned to this individual provider in the NPPES registry on October 24, 2005. The provider is also known as Ms. Mary Anne Layne Crna.
Where is Mary Medlock located?
Mary Medlock practices at 2000 Joseph E. Sanker Boulevard The Urology Center, Cincinnati, OH 45212. The listed phone number is (513) 841-7600.
What is Mary Medlock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mary Medlock enrolled in Medicare?
Yes. Mary Medlock 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 Mary Medlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Medlock reassigns Medicare benefits to Anesthesia Group Practice, Inc (Montgomery, OH). 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 Mary Medlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Medlock affiliated with any hospitals?
According to CMS data, Mary Medlock is affiliated with St Elizabeth Dearborn Hospital.
When was this NPI record last updated?
The NPPES record for Mary Medlock was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Mary Anne Medlock, CRNA · NPI 1629068507
Nurse Anesthetist, Certified Registered physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since October 24, 2005.
## Identity
- **NPI:** 1629068507 (Entity type: Individual)
- **Enumerated:** October 24, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 202765 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 JOSEPH E. SANKER BOULEVARD, THE UROLOGY CENTER, Cincinnati, OH 45212
- **Phone:** (513) 841-7600 · **Fax:** (513) 841-7601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Anesthesia Group Practice, Inc (NPI 1417951948, Montgomery, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** December 7, 2018
- **Other identifiers:** Medicaid 0265681 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1629068507) · Data from the CMS NPPES public registry.