Individual provider Active NPI

Deborah Biddle, CRNA

  • Certified Registered Nurse Anesthetist
  • Carlisle, PA
National Provider Identifier
1063493369
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN197643L Issued in PA
Practice address
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone
(717) 249-1212
Fax
(717) 519-0684
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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 RN197643L PA Primary

Addresses

Primary practice location

361 Alexander Spring Rd
Carlisle, PA 17015-6940

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8929

Other identifiers 1

IdentifierTypeStateIssuer
00749568MedicaidPA

Other names 1

  • Deborah Dimemmo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000071 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789571654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enteron, IncGroup PAC ID 6507833506, 3 clinicians

Practice addresses (Care Compare)

899 Poplar Church Rd
Camp Hill, PA 17011-2206
Phone (717) 763-0430

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enteron, Inc CurrentSince Aug 1, 2018 Accepting new patients
Lehigh Anesthesia Associates, P.C. Past Accepting new patients
Lebanon Anesthesia Associates LTD Nurse Anesthetist, Certified Registered Past Accepting new patients
West Shore Anesthesia Associates, LTD Past Accepting new patients

Locations

899 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 763-0430

Organizations & group practices 5

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1063493369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156940",
            "telephone_number": "717-249-1212",
            "fax_number": "717-519-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "DEBORAH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN197643L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00749568",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DIMEMMO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.