Active NPI
Kristinn Marie Sergi, CRNA
- Certified Registered Nurse Anesthetist
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 105522
- Practice address
- 1044 Belmont Ave
Youngstown, OH 44504-1006 - Phone
- (330) 480-3658
- Fax
- (330) 480-3439
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN315352 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 105522 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave
Youngstown, OH 44504-1006
Mailing address
4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330
Other practice location 1
8401 Market St
Youngstown, OH 44512-6725
Phone (330) 729-2929
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000921157 | Other | OH | ANTHEM BCBS |
| 13550681 | Other | CAQH | |
| 0120977 | Medicaid | OH | |
| H455340 | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658
1995 E State St
Salem, OH 44460-2423
Phone (330) 286-5330
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000
Hospital & facility affiliations
- Surgical Hospital at Southwoods
- MH St Joseph Warren Hospital
- MH St Elizabeth Youngstown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN315352 | OH | MD | Registered Nurse |
| 105522 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Triad Health Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trans-Ohio Anesthesia, LLC | Current | Accepting new patients | |
| Bel-Park Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215
1995 E State St
Salem, OH 44460
Phone (330) 332-1551
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
9225 E Market St
Warren, OH 44484
Phone (330) 372-7470
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
8135 Market St
Youngstown, OH 44512
Phone (330) 758-0900
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000
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.
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Poland, OH
- NPI 1851656854
Nurse Anesthetist, Certified Registered
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Warren, OH
- NPI 1871866137
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1457744302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 BOARDMAN CANFIELD RD",
"address_2": "SUITE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069803",
"telephone_number": "330-286-5330",
"fax_number": "330-286-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-3658",
"fax_number": "330-480-3439"
}
],
"practiceLocations": [
{
"address_1": "8401 Market St",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445126725",
"country_code": "US",
"telephone_number": "330-729-2929",
"fax_number": "330-729-1841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SERGI",
"first_name": "KRISTINN",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN315352",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "105522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000921157",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13550681",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120977",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H455340",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.