Active NPI
Jacqueline N Mast, CRNA
- Certified Registered Nurse Anesthetist
- Lancaster, PA
National Provider Identifier
1003885757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN350779L
- Practice address
- 555 N Duke St
Lancaster, PA 17602-2250 - Phone
- (717) 544-5511
- NPI assigned
- Mar 15, 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 | RN350779L | PA | Primary |
Addresses
Primary practice location
555 N Duke St
Lancaster, PA 17602-2250
Mailing address
555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001544526 | Other | PA | HIGHMARK |
| 90996 | Other | PA | GEISINGER |
| P00054070 | Other | PA | RR MEDICARE |
| 50055746 | Other | PA | KEYSTONE HEALTH PLAN CENTRAL |
| 1147552 | Other | PA | AETNA-HMO |
| 7252729 | Other | PA | AETNA-NON HMO |
| 2228343000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 50055746 | Other | PA | CAPITAL BLUE CROSS |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 N Duke St
Penn Medicine Lancaster General Health Crna
Lancaster, PA 17602-2250
Phone (717) 544-5511
Hospital & facility affiliations
- Lancaster General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN350779L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients |
Locations
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Lancaster, PA
- NPI 1750399507
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1003885757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022250",
"telephone_number": "717-544-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022250",
"telephone_number": "717-544-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAST",
"first_name": "JACQUELINE",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN350779L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "001544526",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "90996",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00054070",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENTRAL",
"identifier": "50055746",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "1147552",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-NON HMO",
"identifier": "7252729",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2228343000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50055746",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.