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ST. MARY MEDICAL CENTER CRNA
NPI 1952458564
Nurse Anesthetist, Certified Registered in Hobart, IN

Active since January 04, 2007
1500 S LAKE PARK AVE, HOBART, IN 46342(219) 947-6980(219) 947-6037 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About St. Mary Medical Center Crna NPPES

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

ST. MARY MEDICAL CENTER CRNA (NPI 1952458564) is a healthcare organization registered as a nurse anesthetist, certified registered in Hobart, Indiana and active in the NPI registry since January 2007. The organization lists Mary Sudicky, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952458564
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameST. MARY MEDICAL CENTER
Location Address1500 S LAKE PARK AVEHobart, IN 46342-6638
Mailing Address1500 S Lake Park AveHobart, IN 46342-6638 · (219) 947-6980 · Fax (219) 947-6037
Phone(219) 947-6980
Fax(219) 947-6037
Organization SubpartNo
Authorized OfficialMary SudickyCfo · (219) 947-6014
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1952458564 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
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.
1500 S LAKE PARK AVE, Hobart, IN 46342
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Other Names 1

Doing Business AsSt. Mary Medical Center Crna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Mary Medical Center Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to St. Mary Medical Center Crna, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christina Korem, FNP-C
Nurse Practitioner
NPI 1689145567
1500 S LAKE PARK AVE
Hobart, IN 46342
(219) 947-6448
✔ PECOS✔ Accepts MedicareSame address
Patricia Biel, FNP-BC
Nurse Practitioner
NPI 1063031367
3170 WILLOWCREEK RD
Portage, IN 46368
(219) 947-6385
✔ PECOS✔ Accepts Medicare5.2 mi
Dyanna Prairie, AU.D.
Qualified Audiologist
NPI 1144667825
901 MACARTHUR BLVD AUDIOLOGY DEPARTMENT
Munster, IN 46321
(219) 836-1600
13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St. Mary Medical Center's NPI number?

The NPI number for St. Mary Medical Center is 1952458564. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as St. Mary Medical Center Crna.

Where is St. Mary Medical Center located?

St. Mary Medical Center is located at 1500 S Lake Park Ave, Hobart, IN 46342. The listed phone number is (219) 947-6980.

What is St. Mary Medical Center's specialty?

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

Is St. Mary Medical Center enrolled in Medicare?

Yes. St. Mary Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Mary Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to St. Mary Medical Center, in Nurse Practitioner and Qualified Audiologist. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Mary Medical Center was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.