Individual provider Active NPI

Elizabeth Rennie, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1235107384
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9163069 Issued in FL
Practice address
400 E 34TH St
New York, NY 10016-4901
Phone
(212) 263-5072
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 549497-1 NY
Certified Registered Nurse Anesthetist 367500000X APN0000010281 TN
Certified Registered Nurse Anesthetist 367500000X R 0085129 OK
Certified Registered Nurse Anesthetist 367500000X 002849 CT
Certified Registered Nurse Anesthetist 367500000X 317311 OH
Certified Registered Nurse Anesthetist 367500000X 9163069 FL Primary

Addresses

Primary practice location

400 E 34TH St
New York, NY 10016-4901

Mailing address

3949 Evans Ave
Ste 102
Fort Myers, FL 33901-9335
Phone (239) 939-2622

Other practice location 1

3949 Evans Ave
Ste 102
Fort Myers, FL 33901-9335
Phone (239) 939-2622

Other identifiers 1

IdentifierTypeStateIssuer
304862400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erennie54575@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000096 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648176263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

Suffern, NY 10901
Phone (845) 357-5775

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
549497-1NYMDRegistered Nurse
002849CTMDCertified Registered Nurse Anesthetist
9163069FLMDCertified Registered Nurse Anesthetist
317311OHMDCertified Registered Nurse Anesthetist
R 0085129OKMDCertified Registered Nurse Anesthetist
APN0000010281TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Current Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 26, 2015 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2015 Accepting new patients
Ramapo Anesthesiologists, PC CurrentSince Jan 30, 2023 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
Norwich Anesthesia Associates, PC Past Accepting new patients
Naples Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Collier Anesthesia PA Past Accepting new patients
Anesthesia & Pain Consultants of SW FL PastSince Jan 1, 2019 Accepting new patients
Southwest Florida Anesthesia Plus Nurse Anesthetist, Certified Registered Past Accepting new patients
Nuvance Health Medical Practice CT, Inc. Past Accepting new patients
Queen City Anesthesiologists Inc Past Accepting new patients
First Anesthesia Associates Inc Past Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. Past Accepting new patients
Waterbury Anesthesiology Assoc. Inc Past Accepting new patients
North Naples Anesthesia, LLC Past Accepting new patients
University Anesthesia Past Accepting new patients
American Anesthesiology of Naples, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1235107384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019335",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164901",
            "telephone_number": "212-263-5072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3949 Evans Ave",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019335",
            "country_code": "US",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNIE",
        "first_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "549497-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000010281",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R 0085129",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "002849",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "317311",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9163069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304862400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erennie54575@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "400 E 34th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100164901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.