Individual provider Active NPI

Penny E Yenchick, CRNA

  • Certified Registered Nurse Anesthetist
  • Coal Township, PA
National Provider Identifier
1285619890
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN291115L Issued in PA
Practice address
4200 Hospital Rd
Coal Township, PA 17866-9668
Phone
(570) 644-4259
Fax
(570) 644-1194
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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 RN291115L PA Primary

Addresses

Primary practice location

4200 Hospital Rd
Coal Township, PA 17866-9668

Mailing address

4200 Hospital Rd
Coal Township, PA 17866-9668
Phone (570) 644-4259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000480 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264586627 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Anesthesia PLLCGroup PAC ID 5991184863, 112 clinicians

Practice addresses (Care Compare)

10 Park PL
Hazle Township, PA 18202-2885
Phone (570) 454-1400

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Forty Fort Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2026 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2009 Accepting new patients
Northeast Gastroenterology Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Northeast Gastroenterology Center, Inc. Current Accepting new patients
Hazleton Anesthesia Services, P.C. CurrentSince Mar 1, 2010 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 27, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Greater Hazleton Gastroenterology, P.C. Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 27, 2020 Accepting new patients

Locations

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200

100 N Academy Ave
Danville, PA 17822

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1285619890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-4259",
            "fax_number": "570-644-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-4259",
            "fax_number": "570-644-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENCHICK",
        "first_name": "PENNY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN291115L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.