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

Mary K Leavery, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063520005

Mary K Leavery, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Winston Salem, North Carolina. Graduated from State University of New York at Buffalo School of Medicine in 1995, 31 years ago. Practices with Medical Park Hospital LLC, a 109-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina, New York and South Carolina.

Years since qualifying
31
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NC, NY, SC
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

145 Kimel Park Dr Ste 120
Winston Salem, NC 27103
Phone: (336) 768-3212
Fax: (336) 768-9019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 830 Washington St, Watertown, NY 13601-4034 — (315) 785-4313
  • 830 Washington St, Watertown, NY 13601-4034 — (315) 785-4313

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 45453 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 993 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 360053-1 (NY)

Record details

NPI number1063520005
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Medical Park Hospital Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 63 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $27 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Medical Park Hospital LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 109 clinicians in the practice; 12 are shown here.

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