Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark D McMullen, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1689897126

Mark D McMullen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Providence, Rhode Island. Qualified in 2001, 25 years ago. Practices with University Gastroenterology, LLC, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
25
Licensed in
RI
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

101 Dudley St
Providence, RI 02905
Phone: (401) 885-2917
Fax: (401) 456-3621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 Staniford St Fl 2, Providence, RI 02905-3105 — (401) 421-8800

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA36569 (RI)

Record details

NPI number1689897126
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice University Gastroenterology, Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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