SAMANTHA GRACE MAYO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1538728704

SAMANTHA GRACE MAYO (CRNA) is a healthcare provider. based in Hopkinton, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN2298184 (MA). The NPI Number for SAMANTHA GRACE MAYO (CRNA) is 1538728704

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA GRACE MAYO (CRNA)
NPI
1538728704
Phone
Not provided
Address
5 2ND RD
Enumeration Date
11 June 2019
Last Update Date
27 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083341000
Graduation Year
2021 (5 years ago)
PAC ID
3779989561
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20210902000204
Address ID
MA016550002WO55XXXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for SAMANTHA GRACE MAYO (CRNA)

  • 5 2ND RD

    HOPKINTON, MA 017482731

    Phone:

    Type: Mailing

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (508) 334-3271

    Fax: (508) 856-5911

    Type: Location

  • 2122, Washington Street, Braggville, Holliston, Middlesex County, Massachusetts, 01757-1743, United States

    HOLLISTON, MA 017461429

    Phone: (508) 726-7171

    Type: Mailing

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: 2021-09-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210902000204ICertified Registered Nurse Anesthetist (Crna)MATBD

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 01748)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SAMANTHA GRACE MAYO (CRNA)?
SAMANTHA GRACE MAYO (CRNA) — NPI 1538728704 — is the standard way to identify this listing.
Can I rely on SAMANTHA GRACE MAYO (CRNA) being an active provider?
As of the registry snapshot, SAMANTHA GRACE MAYO (CRNA) is marked active.
What is SAMANTHA GRACE MAYO (CRNA)'s specialty?
The listing groups SAMANTHA GRACE MAYO (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does SAMANTHA GRACE MAYO (CRNA) list a practice location?
Patients near Hopkinton, Massachusetts may find SAMANTHA GRACE MAYO (CRNA) in results; validate coverage separately.
Is the information about SAMANTHA GRACE MAYO (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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