Individual provider Active NPI

Terry Lee Lex, CRNA

  • Certified Registered Nurse Anesthetist
  • Pottsville, PA
National Provider Identifier
1417959511
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN306828L Issued in PA
Practice address
49 Tunnel Rd
Ste 103
Pottsville, PA 17901-0049
Phone
(570) 622-6520
Fax
(570) 622-6525
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 RN306828L PA Primary

Addresses

Primary practice location

49 Tunnel Rd
Ste 103
Pottsville, PA 17901-0049

Mailing address

PO Box 67
Weston, PA 18256-0067
Phone (570) 956-1523

Other identifiers 3

IdentifierTypeStateIssuer
P00736830OtherPARR MEDICARE
1020960950001MedicaidPA
P00135538OtherPARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000520 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496642415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

48 Tunnel Rd
Suite 103
Pottsville, PA 17901-3875
Phone (570) 622-6520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN306828LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pottsville PA Endoscopy ASC LP CurrentSince Jun 30, 2007 Accepting new patients
The Pottsville PA Endoscopy ASC LP Current Accepting new patients
Digestive Care Associates PC CurrentSince Mar 17, 2023 Accepting new patients
Gulfstream Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients
The Pottsville PA Endoscopy ASC, LLP (Crna) Past Accepting new patients

Locations

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520

48 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1417959511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "WESTON",
            "state": "PA",
            "postal_code": "182560067",
            "telephone_number": "570-956-1523",
            "fax_number": "570-384-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 TUNNEL RD",
            "address_2": "STE 103",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179010049",
            "telephone_number": "570-622-6520",
            "fax_number": "570-622-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEX",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN306828L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00736830",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020960950001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00135538",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.