MARY ELLEN COMOLLI (APRN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1275678518

MARY ELLEN COMOLLI (APRN, CRNA) is a healthcare provider. based in Fairfax, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN, CRNA. They hold a License No. 002971 (CT). The NPI Number for MARY ELLEN COMOLLI (APRN, CRNA) is 1275678518

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN COMOLLI (APRN, CRNA)
NPI
1275678518
Phone
(703) 295-9360
Address
3998 FAIR RIDGE DR
Enumeration Date
21 February 2007
Last Update Date
30 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602820833
Graduation Year
1994 (32 years ago)
PAC ID
7113919614
Group Practice PAC ID
1759281165
Professional Enrollment ID
I20040402000725
Address ID
CT063602740NO326XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for MARY ELLEN COMOLLI (APRN, CRNA)

  • 3998 FAIR RIDGE DR

    STE 300

    FAIRFAX, VA 220332921

    Phone: (703) 295-9360

    Fax: (703) 766-9725

    Type: Mailing

  • 326 WASHINGTON ST

    NORWICH, CT 063602740

    Phone: (860) 889-8331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($169).

Total Amount

$169

General + Research + Ownership

Payments

8

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$169
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: 2004-04-02

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
I20040402000725ICertified Registered Nurse Anesthetist (Crna)CTTBD

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
00670Anesthesia for extensive surgery on spine2020$0
00790Anesthesia for other procedure on upper abdomen1313$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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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: 1759281165View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
-CT
-CT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YRI
Anesthesiology, Pain ManagementNY

Reviews

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Frequently asked questions

What is MARY ELLEN COMOLLI (APRN, CRNA)'s NPI number?
MARY ELLEN COMOLLI (APRN, CRNA)'s NPI is 1275678518 — the number used across U.S. healthcare to identify this provider.
Would MARY ELLEN COMOLLI (APRN, CRNA) appear as active to a payer?
You can treat MARY ELLEN COMOLLI (APRN, CRNA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARY ELLEN COMOLLI (APRN, CRNA)?
At a glance, MARY ELLEN COMOLLI (APRN, CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Virginia is MARY ELLEN COMOLLI (APRN, CRNA) registered?
Use Fairfax, Virginia as the headline location for MARY ELLEN COMOLLI (APRN, CRNA) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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