Individual provider Active NPI

Kathy Pucci, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1184699639
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN505740L Issued in PA
Practice address
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone
(412) 647-3087
NPI assigned
Feb 20, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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 RN505740L PA Primary

Addresses

Primary practice location

200 Lothrop St
Pittsburgh, PA 15213-2536

Mailing address

200 Lothrop St
Forbes Tower, Suite 9055
Pittsburgh, PA 15213-2536

Other identifiers 2

IdentifierTypeStateIssuer
8053294MedicaidNC
NAN846MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405000478 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759452816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

3280 N McMullen Booth Rd
Suite 110
Clearwater, FL 33761-2046
Phone (727) 787-3000

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN505740LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2024 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2019 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2024 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2019 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Sep 3, 2019 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

16244 S Military Trl
Ste 670
Delray Beach, FL 33484
Phone (561) 537-5808

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4500 E Fletcher Ave
Tampa, FL 33613
Phone (813) 870-0401

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1184699639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER, SUITE 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "KATHY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN505740L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053294",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN846",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.