Colleen M. Agostini, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Camden, NJ
NPI 1356897490 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1356897490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 26NR12556600 (NJ)
- Practice address
- 1600 Haddon Ave
Camden, NJ 08103-3101 - Phone
- (856) 757-3897
- NPI assigned
- Aug 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Federal St
Suite Sw200
Camden, NJ 08103-1005
1600 Haddon Ave
Camden, NJ 08103-3101
Hospital & facility affiliations
- Cooper University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.96 of 100
- Quality
- 73.04
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161207001650 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678853793 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR12556600 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Current |
Accepting new patients | |
| Mid-Atlantic Anesthesia Associates PA | Current |
Accepting new patients | |
| CHC Pain Management Center, PA | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Cooper Anesthesia Associates, PC | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virtua Medical Group, PA | Current |
Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
405 Bethel Rd
Somers Point, NJ 08244
Phone (609) 601-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR12556600 | NJ | Yes |
Addresses
Primary practice location
1600 Haddon Ave
Camden, NJ 08103-3101
Mailing address
3 King William CT
Sewell, NJ 08080-1716
Phone (856) 220-9560
Other providers in Camden, NJ
- Bimpe Z Adenusi
- Yagya Raj Adhikari
- Kristen Elizabeth Adorno
- Regine Banda Afable
- Zubairul Hasan Aghai
- Jessica Anne Aguanno
- Francis Aguilar
- Deborah E Aguruso
- Brian Ahern
- Stuti Ahlawat
All providers in Camden, NJ · Certified Registered Nurse Anesthetist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.