NPIMap

Individual provider Active NPI

Anita Marie Ottobre, CRNA

  • Certified Registered Nurse Anesthetist
  • Seneca, PA
National Provider Identifier
1356316079
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN201522L Issued in PA
Practice address
100 Fairfield Dr
Upmc Northwest
Seneca, PA 16346
Phone
(814) 676-7843
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 RN201522L PA Primary

Addresses

Primary practice location

100 Fairfield Dr
Upmc Northwest
Seneca, PA 16346

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2358
Phone (516) 945-3000

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6581

Other identifiers 1

IdentifierTypeStateIssuer
007376992MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aottobre241912@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000499 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507951613 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acmh Anesthesia Services LLCGroup PAC ID 8224039300, 14 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8423

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN201522LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia Services of Southwestern Pennsylvania LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2024 Accepting new patients
Fink Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2019 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Sep 23, 2016 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Sep 23, 2016 Accepting new patients
Allegheny Clinic CurrentSince Dec 7, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 24, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 24, 2016 Accepting new patients
Avania Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2020 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 19, 2016 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients
Allegheny Clinic Current Accepting new patients
Acmh Anesthesia Services LLC CurrentSince May 14, 2021 Accepting new patients

Locations

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

3107 Fairway Dr
Altoona, PA 16602
Phone (814) 949-7280

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

105 Brandt Dr
Ste 101
Cranberry Twp, PA 16066
Phone (724) 772-1766

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

1699 Washington Rd
Ste 307
Pittsburgh, PA 15228
Phone (412) 831-3744

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

580 S Aiken Ave
Ste 530
Pittsburgh, PA 15232
Phone (412) 687-2100

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1356316079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472358",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DR",
            "address_2": "UPMC NORTHWEST",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "16346",
            "telephone_number": "814-676-7843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTOBRE",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "name_prefix": "Prof.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN201522L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007376992",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aottobre241912@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.