REATA F MAYO CRNA
NPI 1972585792
Nurse Anesthetist, Certified Registered in Marquette, MI

Q: What is Reata Mayo's NPI number?

The NPI number for Reata Mayo is 1972585792. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Reata Mayo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Reata Mayo was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 17, 2005

580 W COLLEGE AVE, MARQUETTE, MI 49855(906) 225-3406(906) 225-3094 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Reata F Mayo Crna NPPES

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

REATA F MAYO CRNA (NPI 1972585792) is an individual nurse anesthetist, certified registered in Marquette, Michigan, licensed in Michigan (4704128421) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1972585792

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameREATA F MAYOCredential: CRNA

Location Address580 W COLLEGE AVEMarquette, MI 49855-2705

Mailing Address1347 Ortman RdMarquette, MI 49855 · (906) 249-3999

Phone(906) 225-3406

Fax(906) 225-3094

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateFebruary 5, 2020

✔ NPI 1972585792 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 MI · 4704128421

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.

580 W COLLEGE AVE, Marquette, MI 49855

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Other Identifiers 4

OtherRJ128421MI · Blueshield Pin

Other43400500WI · Wisc Medicaid Pin

Medicaid103133127MI

Other430024327MI · Railroad Medicare Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reata F Mayo Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Reata Mayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology Of Marquette, P.C.

Same address

Anesthesiology

580 W COLLEGE AVE
Marquette, MI 49855

Reassigned Medicare billing, Michigan enrollment
43 clinicians in this Medicare group

NPI 1225039639 (906) 226-2569

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

Areas of Expertise CMS Part B claims 4

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 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.

72 services72 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.

52 services50 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

27 services27 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

19 services19 patients

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.

PAMELA JEAN ROOSE REGISTERED DIETITIAN

Dietitian, Registered