Individual provider Active NPI

Colleen Raup, CRNA

  • Certified Registered Nurse Anesthetist
  • York, PA
National Provider Identifier
1205228707
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN612207 Issued in PA
Practice address
1703 Innovation Dr Ste 1100
York, PA 17408-8815
Phone
(717) 782-5118
Fax
(717) 782-5854
NPI assigned
Feb 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 RN612207 PA Primary

Addresses

Primary practice location

1703 Innovation Dr Ste 1100
York, PA 17408-8815

Mailing address

1703 Innovation Dr Ste 1100
York, PA 17408-8815
Phone (717) 782-5118

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 2

110 Pine Grove Cmns
York, PA 17403-5151
Phone (717) 741-5257

Other practice location 3

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

Other practice location 4

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 646-4204

Other practice location 5

236 West St
Gettysburg, PA 17325-2509
Phone (717) 338-4500

Other practice location 6

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4168

Other names 1

  • Colleen Amundson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000223 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193032761 Reassigns benefits to 3 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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676
Phone (717) 851-2345

1703 Innovation Dr
Suite 1100
York, PA 17408-8815
Phone (717) 782-5118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN612207PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Gettysburg Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Mar 12, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2025 Accepting new patients
The Gettysburg Hospital CurrentSince Jun 3, 2022 Accepting new patients

Locations

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

236 West St
Gettysburg, PA 17325
Phone (717) 338-4500

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

1600 S George St
York, PA 17403
Phone (717) 848-3615

1703 Innovation Dr
Ste 1100
York, PA 17408
Phone 7178945640122

1001 S George St
York, PA 17403
Phone (717) 812-7687

55 Monument Rd
York, PA 17403
Phone (717) 741-5257

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1205228707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 1100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-782-5118",
            "fax_number": "717-782-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 1100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-782-5118",
            "fax_number": "717-782-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Pine Grove Cmns",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035151",
            "country_code": "US",
            "telephone_number": "717-741-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-646-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 West St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252509",
            "country_code": "US",
            "telephone_number": "717-338-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-337-4168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUP",
        "first_name": "COLLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN612207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "AMUNDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.