Mark Garold Pontow
NPI 1255914735ActiveIndividual· Nurse Anesthetist, Certified Registered· Appleton, WI
Nurse Anesthetist, Certified Registered with Racine Anesthesia Services LLC, practicing in Appleton, Wisconsin. Medicare paid $16,437 for services to 88 patients in 2024. Lists Ascension Ne Wisconsin - St Elizabeth Campus and 1 other hospital as hospital affiliations.
Overview
| NPI | 1255914735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 3, 2021 |
| Last updated in NPPES | May 8, 2025 |
| Certified by provider | May 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 11943-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 106 across 38 procedure codes |
| Paid by Medicare | $16,437 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Racine Anesthesia Services LLCMount Pleasant, WI · 82 clinicians
Hospital affiliations
- Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI
- Thedacare Regional Med Ctr - NeenahNeenah, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 nurse anesthetists in Appleton · All nurse anesthetists in Wisconsin