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

Maryanne Waugh Rutz

Individual provider Certified Registered Nurse Anesthetist · NPI 1558005264

Maryanne Waugh Rutz is a Certified Registered Nurse Anesthetist (CRNA) in Buffalo, New York. Qualified in 2022, 4 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2950 Elmwood Ave
Buffalo, NY 14217-1304
Phone: (785) 640-8252
Show map & directions

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

Additional practice locations (1)

  • 818 Ellicott St, Buffalo, NY 14203-1021 — (785) 640-8252

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 766207 (NY)
Specialist Taxonomy 174400000X

Record details

NPI number1558005264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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