Active NPI
Nicole Yvonnne Lentz, CRNA
- Certified Registered Nurse Anesthetist
- Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN550022
- Practice address
- 30 Medical Center Blvd
Suite 305
Chester, PA 19013-3955 - Phone
- (610) 874-6448
- Fax
- (610) 876-7399
- NPI assigned
- Jan 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN550022 | PA | Primary |
Addresses
Primary practice location
30 Medical Center Blvd
Suite 305
Chester, PA 19013-3955
Mailing address
101 E Olney Ave
Ste 400
Philadelphia, PA 19120-2470
Phone (215) 206-5829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN550022 | Other | PA | LICENSE |
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Cottman Ave
Suite 202
Philadelphia, PA 19111-3062
Phone (215) 947-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients |
Locations
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1457304198
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1205011756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "STE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202470",
"telephone_number": "215-206-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEDICAL CENTER BLVD",
"address_2": "SUITE 305",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133955",
"telephone_number": "610-874-6448",
"fax_number": "610-876-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "NICOLE",
"middle_name": "YVONNNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN550022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN550022",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.