Active NPI
Amanda Donnelly, CRNA
- Certified Registered Nurse Anesthetist
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.12155
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 293-8228
- Fax
- (937) 293-8229
- NPI assigned
- Jan 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-279333 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.12155 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
PO Box 932759
Cleveland, OH 44193-0015
Phone (937) 293-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (614) 352-6479
2355 Derr Rd
Springfield, OH 45503-2439
Phone (513) 872-4541
600 N Pickaway St
Circleville, OH 43113-1447
Phone (614) 352-6479
Hospital & facility affiliations
- Springfield Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.12155 | OH | MD | Certified Registered Nurse Anesthetist |
| RN-279333 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Missouri, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ogi Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arlington Anesthesia Partners LLC | Current | Accepting new patients | |
| Anesthesia Associates of Cincinnati, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Children'S Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Pediatric Anesthesia Associates of Dayton, Inc. | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
2355 Derr Rd
Ste F
Springfield, OH 45503
2355 Derr Rd
Springfield, OH 45503
Phone (937) 398-1966
2610 N Limestone St
Springfield, OH 45503
Phone (614) 352-6479
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1962776807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1316945173
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1396191789
MO, Nurse Anesthetist, Certified Registered
-
- Pediatric Anesthesiology Physician
- Dayton, OH
- NPI 1932397544
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1447217096
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1245535871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932759",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930015",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "AMANDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN-279333",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.12155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.