IndividualActiveAccepts Medicare

Ekaterina Maksimov

NPI 1619658564 · Certified Registered Nurse Anesthetist · Greenville, SC

Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1619658564
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No
License: 234079 (SC)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense 149140 (SC)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 234079 (SC)
Nursing Service Providers
Certified Registered Nurse Anesthetist367500000XLicense 28799 (SC)
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
2 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
3 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$53 across 2 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

701 Grove Rd

Greenville, SC 29605-4210

Phone: (864) 455-7000

Street-level locationGet directions

More SC providers

Mailing address

165 Rushing Waters Dr

Inman, SC 29349-6787

Additional practice locations (2)

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705

Enumerated: 2023-07-25
Last updated: 2024-06-05
Certified: 2024-06-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.