Individual provider Active NPI

Linda Ann Caccamo, CRNA

  • Certified Registered Nurse Anesthetist
  • Easton, PA
National Provider Identifier
1336178755
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN620353 Issued in PA
Practice address
250 S 21St St
Easton, PA 18042-3851
Phone
(610) 250-4300
Fax
(610) 250-4804
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0017904 DE
Registered Nurse 163W00000X 041399722 IL
Certified Registered Nurse Anesthetist 367500000X L6-0A00150 DE
Certified Registered Nurse Anesthetist 367500000X 209009608 IL
Certified Registered Nurse Anesthetist 367500000X RN1035967 DC
Certified Registered Nurse Anesthetist 367500000X 4704282528 MI
Certified Registered Nurse Anesthetist 367500000X RN620353 PA Primary

Addresses

Primary practice location

250 S 21St St
Easton, PA 18042-3851

Mailing address

100 Witmer Rd
Ste 220
Horsham, PA 19044-2279
Phone (215) 442-5000

Other identifiers 4

IdentifierTypeStateIssuer
102681818MedicaidPA
P00962403OtherPARAILROAD MEDICARE
193850801MedicaidTX
89164UOtherTXBCBS

Other names 1

  • Linda Ann Smack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC, CA, TN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20091020000106 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931272358 Reassigns benefits to 1 organization
I20110912000145 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931272358 Reassigns benefits to 1 organization
I20160511000178 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931272358 Reassigns benefits to 1 organization
I20210114002536 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931272358 Reassigns benefits to 1 organization
I20241115003972 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931272358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Assoc of MarylandGroup PAC ID 7012106610, 15 clinicians

Practice addresses (Care Compare)

101 Milford St
Salisbury, MD 21804-6952

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0017904DEMDRegistered Nurse
041399722ILMDRegistered Nurse
209009608ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of TN PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Hazleton Anesthesia Services, P.C. CurrentSince Aug 14, 2019 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Sep 20, 2022 Accepting new patients
Pinnacle Mid-Atlantic Pain Medicine, PC Past Accepting new patients
Tippecanoe Anesthesia Services LLC Past Accepting new patients
First State Anesthesia Services LLC Past Accepting new patients

Locations

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

50 Moisey Dr
Ste 100
Hazle Township, PA 18202
Phone (570) 501-6500

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

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1336178755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "STE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442279",
            "telephone_number": "215-442-5000",
            "fax_number": "215-957-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423851",
            "telephone_number": "610-250-4300",
            "fax_number": "610-250-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCAMO",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0017904",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041399722",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00150",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209009608",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN1035967",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704282528",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN620353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102681818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00962403",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193850801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89164U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SMACK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.