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

Mary Miller

Individual provider Certified Registered Nurse Anesthetist · NPI 1447620703

Mary Miller is a Certified Registered Nurse Anesthetist (CRNA) in Willimantic, Connecticut. Qualified in 2015, 11 years ago. Practices with Granite State Anesthesia Partners, LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Massachusetts and New Hampshire.

Years since qualifying
11
Licensed in
CT, MA, NH
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1185 Main St Ste 4
Willimantic, CT 06226-2093
Phone: (860) 423-7556
Fax: (860) 423-4694
Show map & directions

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

Additional practice locations (1)

  • 1 General St, Lawrence, MA 01841-2997 — (978) 683-4000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6781 (CT)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN255546 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence EL11037 (NH)

Record details

NPI number1447620703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2015
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address12 Rhonda Rheault Dr # 1, Oxford, MA 01540-2300

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Granite State Anesthesia Partners, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Willimantic