MARY C VAUGHN GREATHOUSE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1942240643

MARY C VAUGHN GREATHOUSE (CRNA) is a healthcare provider. based in Canton, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN272485 (OH). The NPI Number for MARY C VAUGHN GREATHOUSE (CRNA) is 1942240643

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY C VAUGHN GREATHOUSE (CRNA)
NPI
1942240643
Phone
(330) 305-2020
Address
4360 Fulton Dr NW Ste B
Enumeration Date
8 June 2006
Last Update Date
30 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403568681
Graduation Year
2021 (5 years ago)
PAC ID
7719980952
Group Practice PAC ID
9436061645
Professional Enrollment ID
I20060809000083
Address ID
OH456622640PO1805XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

Provider Addresses for MARY C VAUGHN GREATHOUSE (CRNA)

  • 4360 Fulton Dr NW Ste B

    Canton, OH 447182878

    Phone: (330) 305-2020

    Fax: (330) 305-9090

    Type: Location

  • Western Reserve Hospital, 1900, 23rd Street, Cuyahoga Falls, Summit County, Ohio, 44223, United States

    CUYAHOGA FALLS, OH 442231404

    Phone: (330) 971-7000

    Fax: (330) 296-6535

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($157).

Total Amount

$509

General + Research + Ownership

Payments

26

Total payment records

General Amount

$509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060809000083ICertified Registered Nurse Anesthetist (Crna)OHTBD
I20250619002608ICertified Registered Nurse Anesthetist (Crna)WVTBD

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 surgery1513$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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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: 9436061645View full group profile

Reviews

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Frequently asked questions

Does MARY C VAUGHN GREATHOUSE (CRNA) have a public NPI I can cite?
Public records show MARY C VAUGHN GREATHOUSE (CRNA) under NPI 1942240643.
Should I treat MARY C VAUGHN GREATHOUSE (CRNA) as an active provider?
Patients and plans typically see MARY C VAUGHN GREATHOUSE (CRNA) as active in the national extract.
What does the directory say MARY C VAUGHN GREATHOUSE (CRNA) does?
Insurance directories may phrase it differently, but here MARY C VAUGHN GREATHOUSE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY C VAUGHN GREATHOUSE (CRNA)?
MARY C VAUGHN GREATHOUSE (CRNA) shows a connection to Canton, Ohio in registry-derived data.
Why is information missing for MARY C VAUGHN GREATHOUSE (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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