Individual provider Active NPI

Elaine Carboni, CRNA

  • Certified Registered Nurse Anesthetist
  • Bethlehem, PA
National Provider Identifier
1013966787
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
196591L Issued in PA
Practice address
425 Brighton St
# 202
Bethlehem, PA 18015-1273
Phone
(610) 954-8040
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 196591L PA Primary

Addresses

Primary practice location

425 Brighton St
# 202
Bethlehem, PA 18015-1273

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000711 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810965308 Reassigns benefits to 3 organizations

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
Northeast Gastroenterology Center, Inc.Group PAC ID 2264410224, 7 clinicians

Practice addresses (Care Compare)

10 Park PL
Hazle Township, PA 18202-2885
Phone (570) 454-1400

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
70.82
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
76 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196591LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hazleton Gastroenterology, P.C. Current Accepting new patients
Hazleton Anesthesia Services, P.C. CurrentSince Oct 12, 2018 Accepting new patients
Northeast Gastroenterology Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Fsljc, LLC. CurrentSince Apr 8, 2017 Accepting new patients
Northeast Gastroenterology Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Francis J. Collini, MD, Facs, P.C. CurrentSince Apr 8, 2017 Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Anesthesia Specialists of Warren, LLC Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients

Locations

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

1845 Memorial Hwy
Shavertown, PA 18708
Phone (570) 674-6525

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1013966787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BRIGHTON ST",
            "address_2": "# 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151273",
            "telephone_number": "610-954-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONI",
        "first_name": "ELAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "196591L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.