Active NPI
Carol E. Pethel, CRNA
- Certified Registered Nurse Anesthetist
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 083407
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 512-1340
- Fax
- (864) 512-1749
- NPI assigned
- Feb 3, 2010
- Last updated
- May 12, 2011
- 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 | 083407 | SC | Primary |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1417
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI # | Other | SC | TRICARE (HUMANA) |
| NPI/SSN | Other | SC | BLUECROSS BLUESHIELD OF SC |
| P00911158 | Other | SC | RAILROAD MEDICARE |
| AN2036 | Medicaid | SC | |
| NPI/SSN | Other | SC | BLUECHOICE OF SC |
| 20101737 | Other | SC | SELECT HEALTH OF SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 512-3076
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Pathology Associates PA | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients |
Locations
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
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.
-
dba AnMed
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
Nurse Anesthetist, Certified Registered
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
dba AnMed
- Emergency Medicine Physician
- Anderson, SC
- NPI 1588685333
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- Anatomic Pathology & Clinical Pathology Physician
- Anderson, SC
- NPI 1235101965
Hospital & facility affiliations 1
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": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1215269147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1417",
"fax_number": "864-512-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1340",
"fax_number": "864-512-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETHEL",
"first_name": "CAROL",
"middle_name": "E.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "083407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE (HUMANA)",
"identifier": "NPI #",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF SC",
"identifier": "NPI/SSN",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00911158",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN2036",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE OF SC",
"identifier": "NPI/SSN",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH OF SC",
"identifier": "20101737",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.