Individual provider Active NPI

Amy Louise Bruckner

  • Certified Registered Nurse Anesthetist
  • Washington, PA
National Provider Identifier
1154793719
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
109363 Issued in PA
Practice address
155 Wilson Ave
Washington Hosp
Washington, PA 15301-3336
Phone
(800) 394-4445
Fax
(706) 396-3252
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 77260 WV
Registered Nurse 163W00000X RN586328 PA
Certified Registered Nurse Anesthetist 367500000X 109363 PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington Hosp
Washington, PA 15301-3336

Mailing address

29 Ullom Rd
Washington, PA 15301-8652
Phone (724) 809-8691

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160212000417 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618271537 Reassigns benefits to 3 organizations
I20160407001676 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618271537

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BPW Medical Associates P CGroup PAC ID 7719878081, 54 clinicians

Practice addresses (Care Compare)

500 N Lewis Run Rd
Suite 202
Pittsburgh, PA 15122-3048
Phone (412) 469-6964

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN586328PAMDRegistered Nurse
77260WVMDRegistered Nurse
109363PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2022 Accepting new patients
Wheeling Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Keystone Anesthesia Consultants, LTD CurrentSince Jan 28, 2016 Accepting new patients
BPW Medical Associates P C Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Wheeling Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2022 Accepting new patients

Locations

103 Pleasant Dr
Aliquippa, PA 15001
Phone (724) 203-3340

2000 Oxford Dr
Ste 303
Bethel Park, PA 15102
Phone (412) 572-6066

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1675 Route 51
Jefferson Hls, PA 15025
Phone (412) 382-7155

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

100 Stoops Dr
Monongahela, PA 15063
Phone (724) 483-2760

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

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

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

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

100 Trich Dr
Ste 4
Washington, PA 15301
Phone (724) 582-4411

100 Trich Dr
Ste 1
Washington, PA 15301
Phone (724) 884-0710

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

500 N Lewis Run Rd
Ste 202
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 469-6952

14000 Perry Hwy
Ste 100
Wexford, PA 15090
Phone (724) 776-2111

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 7

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 1

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1154793719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ULLOM RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018652",
            "telephone_number": "724-809-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "address_2": "WASHINGTON HOSP",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "800-394-4445",
            "fax_number": "706-396-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKNER",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "77260",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN586328",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "109363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

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