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

Mark Patrick Ivory, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1629179528

Mark Patrick Ivory, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fredericksburg, Virginia. Qualified in 2000, 26 years ago. Practices with Mary Washington Healthcare Specialty Services, LLC, a 137-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
26
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

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone: (540) 741-7614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1201 Sam Perry Blvd Ste 101, Fredericksburg, VA 22401-4490 — (540) 741-7614
  • 101 Hospital Center Blvd, Stafford, VA 22554-6200 — (540) 741-7614

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024164629 (VA)

Record details

NPI number1629179528
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mary Washington Healthcare Specialty Services, Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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