MARY C NOFFTZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104820638

MARY C NOFFTZ (CRNA) is a healthcare provider. based in La crosse, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 107942 (WI). The NPI Number for MARY C NOFFTZ (CRNA) is 1104820638

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY C NOFFTZ (CRNA)
NPI
1104820638
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
13 June 2005
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153581710
Graduation Year
2002 (24 years ago)
PAC ID
2365529559
Group Practice PAC ID
5698071173
Professional Enrollment ID
I20080412000051
Address ID
WI545489067MI9576X70XX300

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness95
Years active:21State licenses:2Other names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

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Provider Addresses for MARY C NOFFTZ (CRNA)

  • South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • 9576 Hwy 70

    Minocqua, WI 545489067

    Phone: (715) 387-5511

    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: 2008-04-12

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
I20080412000051ICertified Registered Nurse Anesthetist (Crna)WITBD

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
00812Anesthesia for exam of colon using an endoscope2928$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Provider's Procedures

MARY C NOFFTZ (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWI00142Anesthesia for lens surgery1818

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: 5698071173View full group profile

Reviews

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Frequently asked questions

Is MARY C NOFFTZ (CRNA) listed with a National Provider Identifier?
Yes — MARY C NOFFTZ (CRNA) has NPI 1104820638 on file in the registry.
Is MARY C NOFFTZ (CRNA) still an active registrant?
MARY C NOFFTZ (CRNA) carries an active NPI according to the public dataset.
How would a patient describe MARY C NOFFTZ (CRNA)'s focus?
For MARY C NOFFTZ (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MARY C NOFFTZ (CRNA) located near La Crosse?
MARY C NOFFTZ (CRNA) currently maps to La Crosse, Wisconsin in this extract.
Does MARY C NOFFTZ (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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