Active NPI
Kelsey L Mihal, CRNA
- Certified Registered Nurse Anesthetist
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN650797
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-1462 - Phone
- (570) 829-8111
- NPI assigned
- Feb 9, 2018
- Last updated
- May 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | L1-0051480 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | RN650797 | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-1462
Mailing address
PO Box 512496
Philadelphia, PA 19175-2496
Phone (302) 645-3580
Other practice location 1
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 441-1078
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0051480 | DE | MD | Certified Registered Nurse Anesthetist |
| RN650797 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wilkes Barre General Hospital
- Clinic/Center
- Wilkes Barre, PA
- NPI 1053554378
Hospital
-
dba Wilkes Barre General Hospital
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1043719693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512496",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191752496",
"telephone_number": "302-645-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187641462",
"telephone_number": "570-829-8111"
}
],
"practiceLocations": [
{
"address_1": "424 Savannah Rd",
"address_purpose": "LOCATION",
"city": "Lewes",
"state": "DE",
"postal_code": "199581462",
"country_code": "US",
"telephone_number": "302-441-1078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIHAL",
"first_name": "KELSEY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L1-0051480",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN650797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.