Individual provider Active NPI

Elizabeth Conley

  • Certified Registered Nurse Anesthetist
  • Beaver, PA
National Provider Identifier
1164064184
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
130143 Issued in PA
Practice address
3870 Tuscarawas Rd
Beaver, PA 15009-9126
Phone
(724) 622-5849
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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 130143 PA Primary

Addresses

Primary practice location

3870 Tuscarawas Rd
Beaver, PA 15009-9126

Mailing address

PO Box 737
East Butler, PA 16029-0737
Phone (724) 256-9700

Other practice location 1

500 Grant Ave
East Butler, PA 16029-2111
Phone (724) 256-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306002309 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355779281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 283-6666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130143PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Oct 1, 2020 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2019 Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2020 Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Organizations & group practices 4

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 3

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1164064184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "EAST BUTLER",
            "state": "PA",
            "postal_code": "160290737",
            "telephone_number": "724-256-9700",
            "fax_number": "724-256-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099126",
            "telephone_number": "724-622-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "East Butler",
            "state": "PA",
            "postal_code": "160292111",
            "country_code": "US",
            "telephone_number": "724-256-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "130143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.