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

Mary Jean Detchemendy, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1093737009

Mary Jean Detchemendy, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Concord, North Carolina. Qualified in 1990, 36 years ago. Practices with Mountain Regional Anesthesia, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
36
Licensed in
NC
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

920 Church St N
Concord, NC 28025-2927
Phone: (704) 783-4235
Fax: (704) 783-2527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 096193 (NC)

Record details

NPI number1093737009
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Mountain Regional Anesthesia, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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