MARY ROSE O'LEARY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1235698929

MARY ROSE O'LEARY (CRNA) is a healthcare provider. based in Burlingame, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 95001057 (CA). The NPI Number for MARY ROSE O'LEARY (CRNA) is 1235698929

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY ROSE O'LEARY (CRNA)
NPI
1235698929
Phone
(978) 578-2617
Address
1215 BAYSWATER AVE APT 201
Enumeration Date
13 March 2019
Last Update Date
20 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5107521000
Graduation Year
2018 (8 years ago)
PAC ID
2365785102
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20190520001931
Address ID
CA946115730OA3600XBROA200

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for MARY ROSE O'LEARY (CRNA)

  • 1215 BAYSWATER AVE APT 201

    BURLINGAME, CA 940104342

    Phone: (978) 578-2617

    Type: Mailing

  • 333 ANDORA LN

    SAN RAMON, CA 945832106

    Phone: (978) 578-2617

    Type: Mailing

  • 3600 Broadway, Broadway, Broadway Auto Row, Oakland, Alameda County, California, 94609, United States

    OAKLAND, CA 946115730

    Phone: (510) 752-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Janssen Biotech, Inc. ($60).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$60
View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190520001931ICertified Registered Nurse Anesthetist (Crna)CATBD

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.

Verify on CMS Revalidation Lookup Tool

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 94010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What is the registry number for MARY ROSE O'LEARY (CRNA)?
The registry entry for MARY ROSE O'LEARY (CRNA) shows NPI 1235698929.
Is MARY ROSE O'LEARY (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MARY ROSE O'LEARY (CRNA) as active.
What does the directory say MARY ROSE O'LEARY (CRNA) does?
Insurance directories may phrase it differently, but here MARY ROSE O'LEARY (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit MARY ROSE O'LEARY (CRNA) in Burlingame, California?
For routing, start with Burlingame, California for MARY ROSE O'LEARY (CRNA), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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