MARY RISVOLD (M.D.) – Anesthesiology Physician, NPI 1346322559
Anesthesiology Physician
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NPPES metrics only — not quality of care.
104 ANESTHESIOLOGY in AK
Provider Addresses for MARY RISVOLD (M.D.)
PO BOX 100216
ANCHORAGE, AK 995100216
Phone: (907) 529-1898
Type: Mailing
3300 Providence Dr
Ste.207
Anchorage, AK 995084616
Phone: (907) 561-0005
Fax: (800) 861-3488
Type: Location
1825 Logan Ave
Waterloo, IA 507031916
Phone: (319) 235-3941
Type: Location
250 Hospital Pl
Soldotna, AK 996696999
Phone: (907) 714-4502
Fax: (907) 714-4696
Type: Location
1700 W Stout St
Rice Lake, WI 548685000
Phone: (715) 236-4450
Type: Location
1825 LOGAN AVE
WATERLOO, IA 507031916
Phone: (319) 235-3941
Type: Location
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
2200 S HOUGHTON RD
TUCSON, AZ 857487632
Phone: (520) 543-6100
Fax: (659) 235-6176
Type: Location
Providence Medical Arts Pharmacy, 3300, Providence Drive, Anchorage, Alaska, 99508, United States
STE.207
ANCHORAGE, AK 995084616
Phone: (907) 561-0005
Fax: (800) 861-3488
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090114000299 | I | Anesthesiology | IA | TBD |
| I20140822002399 | I | Anesthesiology | AZ | TBD |
| I20160527001532 | I | Anesthesiology | MN | TBD |
| I20191016002369 | I | Anesthesiology | NC | TBD |
| I20210914000570 | I | Anesthesiology | AK | TBD |
| I20240410003578 | I | Anesthesiology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| A N E S T H E S I O L O G Y | MO | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| A N E S T H E S I O L O G Y | MA | |
| A N E S T H E S I O L O G Y | NC | |
| A N E S T H E S I O L O G Y | SC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| A N E S T H E S I O L O G Y | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NC |
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