MS. MARY K. DOLAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962496257

MS. MARY K. DOLAK (CRNA) is a healthcare provider. based in Erie, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 14330 (OH). The NPI Number for MS. MARY K. DOLAK (CRNA) is 1962496257

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY K. DOLAK (CRNA)
NPI
1962496257
Phone
(814) 454-8885
Address
232 W 25TH ST
Enumeration Date
1 September 2005
Last Update Date
27 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144525000
Graduation Year
2003 (23 years ago)
PAC ID
0042202152
Group Practice PAC ID
3870405137
Professional Enrollment ID
I20040331000175
Address ID
PA165440002ER232XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for MS. MARY K. DOLAK (CRNA)

  • Saint Vincent Hospital, 232, West 25th Street, Little Italy, Erie, Erie County, Pennsylvania, 16544, United States

    ERIE, PA 165440002

    Phone: (814) 454-8885

    Fax: (814) 456-3856

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Medtronic, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$21
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: 2004-03-31

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
I20040331000175ICertified Registered Nurse Anesthetist (Crna)PATBD

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 surgery9997$0
00140Anesthesia for other procedure on eye1414$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1312$0
View full utilization report →

Insurance plans in this area (ZIP 16544)

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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: 3870405137View full group profile

Reviews

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Frequently asked questions

Where can patients find MS. MARY K. DOLAK (CRNA)'s NPI?
You can confirm MS. MARY K. DOLAK (CRNA) with NPI 1962496257; it appears in the national provider directory.
Is MS. MARY K. DOLAK (CRNA)'s NPI currently valid?
The extract we use shows MS. MARY K. DOLAK (CRNA) as active.
What field does MS. MARY K. DOLAK (CRNA) work in?
You can think of MS. MARY K. DOLAK (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for MS. MARY K. DOLAK (CRNA)?
We surface Erie, Pennsylvania for MS. MARY K. DOLAK (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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