MARY DEETER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1558693499

MARY DEETER (CRNA) is a healthcare provider. based in Lima, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. COA.11329-NA (OH). The NPI Number for MARY DEETER (CRNA) is 1558693499

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MARY DEETER (CRNA)
NPI
1558693499
Phone
(419) 226-5018
Address
1001 BELLEFONTAINE AVE
Enumeration Date
3 February 2010
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
4192282600
Graduation Year
2009 (17 years ago)
PAC ID
2860536216
Group Practice PAC ID
2567892268
Professional Enrollment ID
I20100223000415
Address ID
OH458052133LI512XXRDXX400

Contacts

Secure Messaging
limamemorialhealthsystem@limamemorial.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for MARY DEETER (CRNA)

  • Lima Memorial Hospital, 1001, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States

    LIMA, OH 458042800

    Phone: (419) 226-5018

    Fax: (419) 998-4514

    Mailing address matches the actual address.

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: 2010-02-23

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
I20100223000415ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 surgery10498$0
00811Anesthesia for other procedure on large bowel using an endoscope5656$0
00812Anesthesia for exam of colon using an endoscope2929$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1817$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1616$0
View full utilization report →

Insurance plans in this area (ZIP 45804)

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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: 2567892268View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)TN

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Frequently asked questions

What is the standard ID for MARY DEETER (CRNA) in the U.S.?
In the U.S., MARY DEETER (CRNA) is identified by NPI 1558693499.
Quick check: is MARY DEETER (CRNA) active?
Public NPPES data shows MARY DEETER (CRNA) with an active NPI status right now.
What type of care does MARY DEETER (CRNA) provide?
MARY DEETER (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to MARY DEETER (CRNA)?
The directory associates MARY DEETER (CRNA) with Lima, Ohio. Check all listed addresses for suites or satellite offices.
Can I export MARY DEETER (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.