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

Mary C Phung, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265841589

Mary C Phung, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Beaver Dam, Wisconsin. Qualified in 2014, 12 years ago. Practices with Beaver Dam Community Hospitals Inc, a 66-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 887-7181
Show map & directions

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

Additional practice locations (1)

  • 225 Memorial Dr, Berlin, WI 54923-1243 — (920) 361-5538

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 5896 (WI)

Record details

NPI number1265841589
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 12, 2014
Last updated in NPPESMarch 18, 2024
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Beaver Dam Community Hospitals Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Beaver Dam