Penny Lynn Allison, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Jamestown, NY
NPI 1154310795 · NPPES record last updated Apr 10, 2014
Key facts
- NPI
- 1154310795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R871703 (MS)
- Practice address
- 172 Pleasantview Dr
Jamestown, NY 14701-1632 - Phone
- (999) 999-9999
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170427000170 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5991727331 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382362 | NY | MD | Pediatric Nurse Practitioner |
| R871703 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Northside Cherokee Anesthesia Associates | Past | Accepting new patients | |
| Natchez Regional Medical Center | Past | Accepting new patients | |
| Digestive Care of Evansville PC | Past | Accepting new patients | |
| Lehigh Anesthesia Associates, P.C. | Past | Accepting new patients | |
| Anesthesia Care Associates, LLC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Newnan Anesthesia Associates, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R871703 | MS | Yes |
Addresses
Primary practice location
172 Pleasantview Dr
Jamestown, NY 14701-1632
Mailing address
172 Pleasantview Dr
Jamestown, NY 14701-1632
Phone (999) 999-9999
Other providers in Jamestown, NY
- Allegany Ophthalmology PLLC
- Jeffrey W Allen
- Nancy A Allen
- Alliance for Nonprofit Resources, Inc.
- Allied Orthopedic Appliances Inc
- Shawna Ann Alonge
- Kaitlin Mae Ames
- Patricia L Ames
- Brianna Anderson
- Cynthia R Anderson
All providers in Jamestown, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.