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

Wayne Mavellia II, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1598524076

Wayne Mavellia II, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Statesville, North Carolina. Qualified in 2024, 2 years ago. Practices with Iredell Memorial Hospital Incorporated, a 33-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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

557 Brookdale Dr
Statesville, NC 28677-4107
Phone: (704) 873-5661
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 7744 (NC)

Record details

NPI number1598524076
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Iredell Memorial Hospital Incorporated — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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