MARY KIMBERLY WARD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760590806

MARY KIMBERLY WARD (CRNA) is a healthcare provider. based in Collierville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 9402 (TN). The NPI Number for MARY KIMBERLY WARD (CRNA) is 1760590806

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MARY KIMBERLY WARD (CRNA)
NPI
1760590806
Phone
(901) 853-7739
Address
1075 Sunriver Dr
Enumeration Date
28 August 2006
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655468040
Graduation Year
1994 (32 years ago)
PAC ID
7113914813
Group Practice PAC ID
9931001922
Professional Enrollment ID
I20040426001677
Address ID
TN379234301KN9300XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for MARY KIMBERLY WARD (CRNA)

  • 1075 Sunriver Dr

    Collierville, TN 380173433

    Phone: (901) 853-7739

    Type: Location

  • 1075, Sunriver Drive, Collierville, Shelby County, West Tennessee, Tennessee, 38017, United States

    COLLIERVILLE, TN 380173433

    Phone: (901) 853-7739

    Type: Location

  • 6019 WALNUT GROVE RD

    MEMPHIS, TN 381202113

    Phone: (901) 226-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Becton, Dickinson and Company ($122).

Total Amount

$201

General + Research + Ownership

Payments

5

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-01-30

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
I20040426001677ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20080130000442ICertified Registered Nurse Anesthetist (Crna)MSTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 38017)

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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: 9931001922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
-GA
-MO
-NC
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TN
-OK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY KIMBERLY WARD (CRNA)?
MARY KIMBERLY WARD (CRNA) — NPI 1760590806 — is the standard way to identify this listing.
Can I rely on MARY KIMBERLY WARD (CRNA) being an active provider?
As of the registry snapshot, MARY KIMBERLY WARD (CRNA) is marked active.
What is MARY KIMBERLY WARD (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MARY KIMBERLY WARD (CRNA) here. Clinical services aligned with this taxonomy classification.
Does MARY KIMBERLY WARD (CRNA) list a practice location?
Patients near Collierville, Tennessee may find MARY KIMBERLY WARD (CRNA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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