NPPES file of Aug 9, 2026

Mary C. Phung, CRNA

Certified Registered Nurse Anesthetist · Beaver Dam, WI

Mary C. Phung, CRNA is a certified registered nurse anesthetist with a practice address in Beaver Dam, Wisconsin, and NPI 1265841589, issued on Aug 12, 2014. Check the license (Wisconsin 5896, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265841589
Name
Mary C. Phung
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License number
5896 WI
Self-reported in NPPES; status is on the state search
Practice location
707 S University Ave, Beaver Dam, WI 53916
Phone
(920) 887-7181
Enumerated
Aug 12, 2014
Record last updated
Mar 18, 2024
Medicaid ID
1265841589 WI
Medicare enrollment
Enrolled (PECOS I20140910002123); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest certified registered nurse anesthetist records → All 1,241 in Wisconsin → Look up another NPI →

Also registered at 707 S University Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Omar Abdelmegid, MDOphthalmology Physician1760943633
  2. Mesfin Abera, M.D.Internal Medicine Physician1972852390
  3. Laeekha Ali, MDAnatomic Pathology & Clinical Pathology Physician1245200427
  4. Callie AulikPhysical Therapist1528851748
  5. Michelle Bartzen, PA-CPhysician Assistant1568027555
  6. Susan Baumann, OTROccupational Therapist1750642583

Verify Mary C. Phung in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 5896    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Beaver Dam Community Hospitals Inc.Beaver Dam, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mary C. Phung among 1,241 certified registered nurse anesthetist records in Wisconsin

Mary C. Phung, CRNA is one of 1,241 certified registered nurse anesthetist records with a practice address in Wisconsin. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 60% of them.

  • NPI issued2014 · 60% of these records are older, 37% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2014 · median 2013 among the 932 with a school on file
  • Record last updated2024 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 certified registered nurse anesthetist records list a practice address in Beaver Dam

They are 6 of the 412 NPPES records with a practice address in Beaver Dam, and 1,241 certified registered nurse anesthetist records in Wisconsin.

All 1,241 in Wisconsin → Every provider in Beaver Dam → Certified Registered Nurse Anesthetist nationwide →

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Carol Christie, CRNABeaver Dam, WI 539161770660227
  2. Linda Miller, CRNABeaver Dam, WI 539161790895001
  3. Aimee Schneider, CRNABeaver Dam, WI 539161104449826
  4. Jason Schultz, CRNABeaver Dam, WI 539161336766971
  5. Lynda Vielbig, CRNABeaver Dam, WI 539161063040244
  6. Alan Garven, CRNABaraboo, WI 539131629050679
  7. Daniel Langan, CRNABaraboo, WI 539131922037175
  8. Annette May, CRNABaraboo, WI 539131457336901

Common questions

What is Mary C. Phung, CRNA's NPI number?

Mary C. Phung, CRNA's National Provider Identifier (NPI) is 1265841589, issued on Aug 12, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Mary C. Phung, CRNA located?

The NPPES record lists a practice address at 707 S University Ave, Beaver Dam, WI, 53916. Phone: (920) 887-7181. Providers update this record themselves, so call before visiting.

How can I verify Mary C. Phung, CRNA's license?

NPPES lists Wisconsin license number 5896, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.