MARY RAFTERY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1982661328

MARY RAFTERY (CRNA) is a healthcare provider. based in Birmingham, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704193821 (MI). The NPI Number for MARY RAFTERY (CRNA) is 1982661328

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MARY RAFTERY (CRNA)
NPI
1982661328
Phone
Not provided
Address
1934 DERBY RD
Enumeration Date
28 April 2006
Last Update Date
28 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483385000
Graduation Year
1997 (29 years ago)
PAC ID
9133180144
Group Practice PAC ID
3971898644
Professional Enrollment ID
I20041022000841
Address ID
MI483422217PO50XXXSTXX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for MARY RAFTERY (CRNA)

  • 1934, Derby Road, Pembroke, Birmingham, Oakland County, Michigan, 48009, United States

    BIRMINGHAM, MI 480097530

    Phone:

    Type: Mailing

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    SUITE 220

    BINGHAM FARMS, MI 480254502

    Phone: (248) 258-5058

    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: 2004-10-22

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
I20041022000841ICertified Registered Nurse Anesthetist (Crna)MITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 48009)

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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: 3971898644View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-TX

Reviews

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Frequently asked questions

Can I verify MARY RAFTERY (CRNA) with an NPI only?
You can start verification with NPI 1982661328 for MARY RAFTERY (CRNA), then check state licensing separately.
Can I rely on MARY RAFTERY (CRNA) being an active provider?
As of the registry snapshot, MARY RAFTERY (CRNA) is marked active.
What is MARY RAFTERY (CRNA) best known for clinically?
Directory data describes MARY RAFTERY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MARY RAFTERY (CRNA)?
MARY RAFTERY (CRNA)'s geographic hint is Birmingham, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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