Individual provider Active NPI

Kathleen Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Beaver, PA
National Provider Identifier
1003001041
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN522303L Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone
(724) 773-4621
Fax
(724) 773-4696
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN522303L PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Mailing address

2800 Patterson Dr
Aliquippa, PA 15001-1129
Phone (724) 375-1919

Other identifiers 1

IdentifierTypeStateIssuer
RN522303LOtherPARN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070924000582 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355435108 Reassigns benefits to 4 organizations
I20180822001969 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355435108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KBS Anesthesia, Inc.Group PAC ID 1254719321, 56 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 741-6600

79 Wagner Rd
Monaca, PA 15061-2337
Phone (724) 624-9901

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN522303LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
KBS Anesthesia, Inc. CurrentSince Jul 1, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 30, 2018 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2013 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 30, 2018 Accepting new patients
Fink Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2017 Accepting new patients
Avania Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2022 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

701 Boyce Rd
Bridgeville, PA 15017
Phone (412) 220-2336

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

4735 Clairton Blvd
Pittsburgh, PA 15236
Phone (412) 884-5400

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1003001041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PATTERSON DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011129",
            "telephone_number": "724-375-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-4621",
            "fax_number": "724-773-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN522303L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN522303L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.