Active NPI
Joseph Vincent Ciampoli, CRNA
- Certified Registered Nurse Anesthetist
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN593822
- Practice address
- 1800 E Park Ave
State College, PA 16803-6709 - Phone
- (814) 231-7000
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN593822 | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 146061 | TX |
Addresses
Primary practice location
1800 E Park Ave
State College, PA 16803-6709
Mailing address
PO Box 16
State College, PA 16804-0016
Phone (814) 466-5090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031131900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7000
Hospital & facility affiliations
- Mount Nittany Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146061 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Nittany Medical Center | Current | Accepting new patients | |
| Mount Nittany Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1850 E Park Ave
State College, PA 16803
Phone (814) 234-6750
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
Organizations & group practices 2
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
- State College, PA
- NPI 1528321015
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- State College, PA
- NPI 1194521302
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- State College, PA
- NPI 1730173154
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780750620
Hospital
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780752378
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1174886196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168040016",
"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 E PARK AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036709",
"telephone_number": "814-231-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIAMPOLI",
"first_name": "JOSEPH",
"middle_name": "VINCENT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN593822",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "146061",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031131900001",
"state": "PA"
}
],
"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 Sep 14, 2016; 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.