Active NPI
Andrea B Stachnick, CRNA
- Certified Registered Nurse Anesthetist
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN173958L
- Practice address
- 746 Jefferson Ave
Scranton, PA 18510-1624 - Phone
- (570) 348-7127
- Fax
- (570) 340-4911
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN173958L | PA | Primary |
Addresses
Primary practice location
746 Jefferson Ave
Scranton, PA 18510-1624
Mailing address
801 June LN
Moosic, PA 18507-1407
Phone (570) 347-8452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Mifflin Ave
Scranton, PA 18503-1982
Phone (570) 342-3145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centurion Anesthesia Penn LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
200 Broadway
Ste 3149
Brooklyn, NY 11211
1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
404 2nd Street Pike
Southampton, PA 18966
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1407236110
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1902539851
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1003863184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 JUNE LN",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071407",
"telephone_number": "570-347-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-348-7127",
"fax_number": "570-340-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHNICK",
"first_name": "ANDREA",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN173958L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.