Individual provider Active NPI

Elizabeth Anne Kosin, CRNA

  • Certified Registered Nurse Anesthetist
  • State College, PA
National Provider Identifier
1164802716
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN524301L Issued in PA
Practice address
1800 East Park Ave.
State College, PA 16803-8308
Phone
(814) 231-7000
NPI assigned
Jun 8, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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 RN524301L PA Primary

Addresses

Primary practice location

1800 East Park Ave.
State College, PA 16803-8308

Mailing address

3945 S. Atherton St.
State College, PA 16801
Phone (814) 466-5090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812007127 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193030757 Reassigns benefits to 2 organizations

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
Mount Nittany Medical CenterGroup PAC ID 2365353364, 45 clinicians

Practice addresses (Care Compare)

1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 18, 2016 Accepting new patients
Mount Nittany Medical Center CurrentSince Jul 13, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 18, 2016 Accepting new patients
Mount Nittany Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2015 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

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

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
State College, PA 16803
Phone (814) 234-6750

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1164802716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 S. ATHERTON ST.",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-466-5090",
            "fax_number": "814-466-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAST PARK AVE.",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168038308",
            "telephone_number": "814-231-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN524301L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.