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

Mary Amanda Theiss

Individual provider Registered Nurse · NPI 1215536586

Mary Amanda Theiss is a Certified Registered Nurse Anesthetist (CRNA) in Fair Oaks Ranch, Texas. Qualified in 2020, 6 years ago. Practices with Community Medicine Associates, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

8434 Raintree Woods Dr
Fair Oaks Ranch, TX 78015-4437
Phone: (318) 376-3819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-4000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1030889 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 879598 (TX)

Record details

NPI number1215536586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address8434 Raintree Woods Dr, Fair Oaks Ranch, TX 78015-4437

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount