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

Mark Mizuba, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164439899

Mark Mizuba, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Roanoke, Virginia. Graduated from University of Pittsburgh School of Medicine in 1992, 34 years ago. Practices with Carilion Professional Services LLC, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
34
Trained at
University of Pittsburgh School of Medicine
Licensed in
VA
In the registry since
2006
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

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 853-0222
Fax: (540) 981-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1970 Roanoke Blvd, Salem, VA 24153-6404 — (540) 982-2463

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024166707 (VA)

Record details

NPI number1164439899
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Carilion Professional Services Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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