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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ANNE EISMA
NPI 1831420900
Preventive Medicine - Aerospace Medicine in Davis Monthan Afb, AZ

Active since January 28, 2010PECOS Enrolled
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707(520) 228-2778 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mary Anne Eisma NPPES

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

MARY ANNE EISMA (NPI 1831420900) is an individual aerospace medicine provider in Davis Monthan Afb, Arizona, licensed in Indiana (02003990A) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831420900
Entity TypeIndividualFemale
Primary Taxonomy2083A0100X
Provider Legal NameMARY ANNE EISMA
Location Address4175 S ALAMO AVEDavis Monthan Afb, AZ 85707-4402
Mailing Address4175 S Alamo AveDavis Monthan Afb, AZ 85707-4402
Phone(520) 228-2778
Sole ProprietorNo
Enumeration DateJanuary 28, 2010
Last NPPES UpdateSeptember 4, 2026
NPPES CertifiedSeptember 4, 2026
✔ NPI 1831420900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License✔ Licensed in IN · 02003990A
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
4175 S ALAMO AVE, Davis Monthan Afb, AZ 85707
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Anne Eisma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85707 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

DR. JACOB MACK DMD
Dentist (General Practice)
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ 85707
Pima County (719) 333-5192
NANCY CHRISTY N.P.
Nurse Practitioner (Women's Health)
4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707
Pima County (520) 228-2665
DR. ELIZABETH ROSE PHILLIPS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-4357
MICHELLE MCLOUGHLIN LCSW
Social Worker (Clinical)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2104
DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707
Pima County (520) 228-2720
DR. CARL WAYNE DASSE MD
Family Medicine
4175 S ALAMO AVE
DM AFB, AZ 85707
Pima County (520) 228-2600
DR. NICHOLAS ROBERT EINBENDER D.M.D.
Dentist (General Practice)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2778
AMANDA COOK DO
Pediatrics
4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707
Pima County (520) 228-2778

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 Anne Eisma's NPI number?

The NPI number for Mary Anne Eisma is 1831420900. It was assigned to this individual provider in the NPPES registry on January 28, 2010.

Where is Mary Anne Eisma located?

Mary Anne Eisma practices at 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707. The listed phone number is (520) 228-2778.

What is Mary Anne Eisma's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Mary Anne Eisma enrolled in Medicare?

Yes. Mary Anne Eisma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Anne Eisma was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.