Active NPI
Jennifer Vaccaro Conrad, CRNA
- Certified Registered Nurse Anesthetist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 111907
- Practice address
- 3500 Victoria Street School of Anesthesia
Pittsburgh, PA 15261-0001 - Phone
- (412) 624-4586
- NPI assigned
- Jan 15, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 94111 | WV | |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN714741 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 111907 | WV | Primary |
Addresses
Primary practice location
3500 Victoria Street School of Anesthesia
Pittsburgh, PA 15261-0001
Mailing address
488 Wisconsin Ave
Morgantown, WV 26501-3938
Phone (716) 499-6229
Other names 1
- Jennifer Lyne Vaccaro
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JLV51@pitt.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Pittsburgh School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
Hospital & facility affiliations
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN714741 | PA | MD | Critical Care Medicine Registered Nurse |
| 94111 | WV | MD | Critical Care Medicine Registered Nurse |
| 111907 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Wvu Med Corp Cheat Lake Physicians | Current | Accepting new patients | |
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Fayette Physician Network Inc | Current | Accepting new patients |
Locations
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Surgery Physician
- Uniontown, PA
- NPI 1992107817
-
- Family Medicine Physician
- Friendsville, MD
- NPI 1437823044
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Clinical Medical Laboratory
- Morgantown, WV
- NPI 1568661148
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1265072433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 WISCONSIN AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265013938",
"telephone_number": "716-499-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 VICTORIA STREET SCHOOL OF ANESTHESIA",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152610001",
"telephone_number": "412-624-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JENNIFER",
"middle_name": "VACCARO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WV",
"license": "94111",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PA",
"license": "RN714741",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "111907",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JLV51@pitt.edu",
"affiliation": "N",
"endpointDescription": "University Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3500 Victoria Street School Of Anesthesia",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152610001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "VACCARO",
"middle_name": "LYNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.