MARY KATHLEEN MAGNUSEN CRNA
NPI 1750427902
Nurse Anesthetist, Certified Registered in Kodiak, AK
About Mary Kathleen Magnusen Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHLEEN MAGNUSEN CRNA (NPI 1750427902) is an individual nurse anesthetist, certified registered in Kodiak, Alaska, licensed in Alaska (NURA325) and active in the NPI registry since January 2007. She maintains a secondary practice location in Sunrise and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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 Kathleen Magnusen 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 Reassignments
3Medicare enrollment records show Mary Magnusen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kodiak, AK 99615
- Reassigned Medicare billing, Alaska enrollment
- Also billed through NPI 1013905660 (Alaska)
- 73 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Fairbanks, AK 99709
- Reassigned Medicare billing, Alaska enrollment
- 69 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 99615 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KODIAK, AK 99615
KODIAK, AK 99615
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 Magnusen's NPI number?
The NPI number for Mary Magnusen is 1750427902. It was assigned to this individual provider in the NPPES registry on January 29, 2007.
Where is Mary Magnusen located?
Mary Magnusen practices at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9500.
What is Mary Magnusen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mary Magnusen enrolled in Medicare?
Yes. Mary Magnusen 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 Magnusen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Magnusen reassigns Medicare benefits to 3 organizations: Providence Health & Services Washington (Kodiak, AK), Alaska Native Tribal Health Consortium (Anchorage, AK) and Denali Anesthesia, LLC (Fairbanks, AK). 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 Magnusen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Magnusen accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mary Magnusen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Magnusen was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mary Kathleen Magnusen, CRNA · NPI 1750427902
Nurse Anesthetist, Certified Registered physician in Kodiak, Alaska. Individual provider, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1750427902 (Entity type: Individual)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** NURA325 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1915 E REZANOF DR, Kodiak, AK 99615
- **Phone:** (907) 486-9500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1952430902, Kodiak, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK); Denali Anesthesia, LLC (NPI 1508854712, Fairbanks, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750427902) · Data from the CMS NPPES public registry.