MARY E KOTERBA CRNA
NPI 1699754820
Nurse Anesthetist, Certified Registered in Quincy, IL

Active since January 16, 2006Accepts Medicare Assignment
3301 BROADWAY ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2021, Aug 5, 2019 (2 updates tracked since 2019).

About Mary E Koterba Crna NPPES

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

MARY E KOTERBA CRNA (NPI 1699754820) is an individual nurse anesthetist, certified registered in Quincy, Illinois, licensed in Illinois (209006248) and active in the NPI registry since January 2006. She is affiliated with St Anthonys Memorial Hospital, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1699754820
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY E KOTERBACredential: CRNA
Location Address3301 BROADWAY STQuincy, IL 62301-3713
Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 16, 2006
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1699754820 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
Licenses Licensed in IL · 209006248 Licensed in MO · 118799 Licensed in MI · 4704351565
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.

3301 BROADWAY ST, Quincy, IL 62301

Secondary Practice Location 1

Location 1900 Peeler StKalamazoo, MI 49008-2300 · Phone (269) 345-8618 · Fax (269) 345-1508

Other Identifiers 2

Medicaid915820112MO
Other4704351565MI · Mi License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary E Koterba 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 ID9739141722
PECOS Enrollment IDI20061227000057

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.

Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
19 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%1,347 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3301 BROADWAY ST
QUINCY, IL 62301
Nurse Anesthetist, Certified Registered
3301 BROADWAY ST
QUINCY, IL 62301
Nurse Anesthetist, Certified Registered
3301 BROADWAY ST
QUINCY, IL 62301
Dietitian, Registered (Nutrition, Metabolic)
3301 BROADWAY ST
QUINCY, IL 62301
Nurse Anesthetist, Certified Registered
3301 BROADWAY ST
QUINCY, IL 62301
Internal Medicine (Hematology & Oncology)
3301 BROADWAY ST
QUINCY, IL 62301
Durable Medical Equipment & Medical Supplies
3301 BROADWAY ST
QUINCY, IL 62301
Nurse Anesthetist, Certified Registered
3301 BROADWAY ST
QUINCY, IL 62301

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 Koterba's NPI number?

The NPI number for Mary Koterba is 1699754820. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Mary Koterba located?

Mary Koterba practices at 3301 Broadway St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Mary Koterba's specialty?

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

Is Mary Koterba enrolled in Medicare?

Yes. Mary Koterba 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.

Is Mary Koterba affiliated with any hospitals?

According to CMS data, Mary Koterba is affiliated with St Anthonys Memorial Hospital, Memorial Hospital Of Carbondale and Paris Community Hospital.

When was this NPI record last updated?

The NPPES record for Mary Koterba was last updated on February 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.