Individual provider Active NPI

Nancy K. Buccilli, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1124104419
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN507506L Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-6581
Fax
(412) 359-3483
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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 RN507506L PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbuccilli10649@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080205000142 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456433010 Reassigns benefits to 4 organizations
I20200409000114 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456433010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN507506LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
KBS Anesthesia, Inc. CurrentSince Jul 3, 2022 Accepting new patients
Allegheny Clinic CurrentSince Dec 14, 2016 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 14, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
United Hospital Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 31, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 14, 2021 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1124104419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCILLI",
        "first_name": "NANCY",
        "middle_name": "K.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN507506L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbuccilli10649@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.