MARY HOLT CRNA
NPI 1689137259
Nurse Anesthetist, Certified Registered in Spokane, WA

Active since April 10, 2019Accepts Medicare Assignment
800 W 5TH AVE, SPOKANE, WA 99204(509) 458-5800 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Holt Crna NPPES

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

MARY HOLT CRNA (NPI 1689137259) is an individual nurse anesthetist, certified registered in Spokane, Washington, licensed in Washington (AP61298680) and active in the NPI registry since April 2019. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1689137259
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY HOLTCredential: CRNA
Location Address800 W 5TH AVESpokane, WA 99204-2803
Mailing Address2617 S Post StSpokane, WA 99203-1843 · (503) 752-4049
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2019
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1689137259 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 WA · AP61298680
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.
800 W 5TH AVE, Spokane, WA 99204

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

Mary Holt 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 ID9830578764
PECOS Enrollment IDI20221006003263

Medicare Billing Reassignments

2

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

Anesthesiology
800 W 5TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 102 clinicians in this Medicare group
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1609171081 (Washington)
  • 3,207 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Emergency Medicine (Sports Medicine)
800 W 5TH AVE
SPOKANE, WA 99204
Registered Nurse (Emergency)
800 W 5TH AVE
SPOKANE, WA 99204
Nurse Anesthetist, Certified Registered
800 W 5TH AVE
SPOKANE, WA 99204
Registered Nurse
800 W 5TH AVE
SPOKANE, WA 99204
Internal Medicine
800 W 5TH AVE
SPOKANE, WA 99204
Anesthesiology
800 W 5TH AVE
SPOKANE, WA 99204
Nurse Practitioner
800 W 5TH AVE
SPOKANE, WA 99204
Registered Nurse
800 W 5TH AVE
SPOKANE, WA 99204

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 Holt's NPI number?

The NPI number for Mary Holt is 1689137259. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Mary Holt located?

Mary Holt practices at 800 W 5th Ave, Spokane, WA 99204. The listed phone number is (509) 458-5800.

What is Mary Holt's specialty?

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

Is Mary Holt enrolled in Medicare?

Yes. Mary Holt 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 Mary Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Holt reassigns Medicare benefits to 2 organizations: Anesthesia Associates, Ps (Spokane, WA) and Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Mary Holt'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 Mary Holt was last updated on June 13, 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.