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

Mary E Koterba, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1699754820

Mary E Koterba, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Quincy, Illinois. Qualified in 2001, 25 years ago. Practices with Northstar Anesthesia of Illinois, LLC, a 406-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Michigan and Missouri.

Years since qualifying
25
Licensed in
IL, MI, MO
In the registry since
2006
Specialties on file
3
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

3301 Broadway St
Quincy, IL 62301-3713
Phone: (217) 222-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 Peeler St, Kalamazoo, MI 49008-2300 — (269) 345-8618

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209006248 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 118799 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4704351565 (MI)

Record details

NPI number1699754820
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 16, 2006
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address1025 Maine St, Quincy, IL 62301-4096

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Northstar Anesthesia Of Illinois, Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Quincy