Active NPI
Amy Louise Bruckner
- Certified Registered Nurse Anesthetist
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 109363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN586328 | PA | MD | Registered Nurse |
| 77260 | WV | MD | Registered Nurse |
| 109363 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Wheeling Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Keystone Anesthesia Consultants, LTD | Current | Accepting new patients | |
| BPW Medical Associates P C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Wheeling Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | 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.
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1508820390
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Washington, PA
- NPI 1861450751
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba UPP Department of Anesthesiology
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, PA
- NPI 1528398534
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.