Individual ProviderMary K. WhitmireNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1153 Centre St, Boston, MA 02130-3446(617) 983-7000PECOS EnrollmentBased on the most recent information from CMS, provider Mary K. Whitmire does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1316906829Provider TypeIndividualFull NameWhitmire, Mary K.CredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date3/22/2006Last Updated9/2/2025Contact InformationPractice LocationPractice Address1153 Centre St, Boston, MA 02130-3446Phone(617) 983-7000FaxUnlisted FaxMailing LocationMailing Address1153 Centre St, Boston, MA 02130-3446Phone(617) 983-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN2271470MassachusettsCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense57South CarolinaProvider IdentifiersIDDescriptionIssuerIDAN0497DescriptionMedicaidIssuerUnlistedSouth Carolina