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

Mark D. Reardon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1518971076

Mark D. Reardon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Worcester, Massachusetts. Qualified in 2003, 23 years ago. Practices with Anesthesia Associates of Willimantic, PC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
23
Licensed in
CT, MA
In the registry since
2006
Specialties on file
2
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Founders Plz, East Hartford, CT 06108-3212 — (860) 282-4137

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN228961 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 003046 (CT)

Record details

NPI number1518971076
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Anesthesia Associates Of Willimantic, Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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