MARY EZEM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1952681280
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for MARY EZEM (CRNA)
160 NW 170TH ST
NORTH MIAMI BEACH, FL 331695521
Phone: (305) 654-5025
Type: Mailing
99 EAST RIVER DRIVE 5TH FLOOR
EAST HARTFORD, CT 061087301
Phone: (860) 282-4022
Fax: (860) 289-0742
Type: Mailing
80 SEYMOUR STREET
HARTFORD, CT 061410540
Phone: (860) 545-2117
Fax: (860) 545-1784
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: 2013-01-04
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130104000165 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00104 | Anesthesia for electroshock therapy | 199 | 23 | $0 |
Insurance plans in this area (ZIP 33169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | PA | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| General Surgery | FL | |
| Nurse Practitioner | FL |
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