MARK A MENDICINO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376775221

MARK A MENDICINO (CRNA) is a healthcare provider. based in Fairfax, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN324534L (PA). The NPI Number for MARK A MENDICINO (CRNA) is 1376775221

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARK A MENDICINO (CRNA)
NPI
1376775221
Phone
(703) 295-9360
Address
3998 FAIR RIDGE DR
Enumeration Date
11 August 2009
Last Update Date
19 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702538133
Graduation Year
2009 (17 years ago)
PAC ID
6204971831
Group Practice PAC ID
4082522149
Professional Enrollment ID
I20100306000027
Address ID
PA184311445HO601XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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

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Provider Addresses for MARK A MENDICINO (CRNA)

  • 3998, Fair Ridge Drive, Pender, Chantilly, Fairfax County, Virginia, 22033, United States

    STE 300

    FAIRFAX, VA 220332921

    Phone: (703) 295-9360

    Fax: (703) 766-9725

    Type: Mailing

  • Regional Hospital of Scranton, 746, Jefferson Avenue, Hill Section, Scranton, Lackawanna County, Pennsylvania, 18510, United States

    SCRANTON, PA 185101624

    Phone: (570) 346-7797

    Fax: (570) 342-9802

    Type: Location

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: 2010-03-06

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
I20100306000027ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope243237$0
00811Anesthesia for other procedure on large bowel using an endoscope232230$0
00812Anesthesia for exam of colon using an endoscope164164$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: 4082522149View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNV
A N E S T H E S I O L O G YPA
Orthopedic SurgeryPA
Physical Medicine And RehabilitationPA
Pulmonary Disease, Critical Care (Intensivists)PA
Nuclear Medicine, Internal MedicinePA
Interventional RadiologyPA
Internal Medicine, Cardiovascular Disease (Cardiology)PA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

Is MARK A MENDICINO (CRNA) listed with a National Provider Identifier?
Yes — MARK A MENDICINO (CRNA) has NPI 1376775221 on file in the registry.
Active or inactive — what applies to MARK A MENDICINO (CRNA)?
You should see MARK A MENDICINO (CRNA) as active in CMS-hosted NPPES data.
What clinical focus is listed for MARK A MENDICINO (CRNA)?
At a glance, MARK A MENDICINO (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK A MENDICINO (CRNA)?
Travel planning: use Fairfax, Virginia as the reference point for MARK A MENDICINO (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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