Individual provider Active NPI

Rachael Colucciello, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, NY
National Provider Identifier
1295733525
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
493391 Issued in NY
Practice address
1450 Western Ave Ste 102
Anesthesia Group of Albany, PC
Albany, NY 12203-3539
Phone
(518) 463-0050
Fax
(518) 207-2973
NPI assigned
Jul 11, 2005
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 493391 NY Primary

Addresses

Primary practice location

1450 Western Ave Ste 102
Anesthesia Group of Albany, PC
Albany, NY 12203-3539

Mailing address

1450 Western Ave Ste 102
Anesthesia Group of Albany, PC
Albany, NY 12203-3539
Phone (518) 463-0050

Other practice location 1

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110409000005 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961686381 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1069953TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2014 Accepting new patients
Anesthesia Group of Albany, PC CurrentSince Nov 1, 2001 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jan 6, 2025 Accepting new patients
North Country Ec LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2023 Accepting new patients
JJM Medical Services, PC CurrentSince Sep 20, 2021 Accepting new patients

Locations

1450 Western Ave
Ste 102
Albany, NY 12203

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

7 Southwoods Blvd
Ste 4
Albany, NY 12211

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1072 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 283-2402

1072 Troy Schenectady Rd
Ste 101
Latham, NY 12110

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1201 Nott St
Ste 106
Schenectady, NY 12308
Phone (518) 374-3123

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

135 North Rd
#2
Wilton, NY 12831
Phone (518) 450-1304

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1295733525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WESTERN AVE STE 102",
            "address_2": "ANESTHESIA GROUP OF ALBANY, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033539",
            "telephone_number": "518-463-0050",
            "fax_number": "518-207-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WESTERN AVE STE 102",
            "address_2": "ANESTHESIA GROUP OF ALBANY, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033539",
            "telephone_number": "518-463-0050",
            "fax_number": "518-207-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-470-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLUCCIELLO",
        "first_name": "RACHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "493391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.