Individual provider Active NPI

Jay Keppich

  • Certified Registered Nurse Anesthetist
  • Washington, PA
National Provider Identifier
1477218733
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN663769 Issued in PA
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(724) 225-7000
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 RN663769 PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

2000 Oxford Dr Ste 303
Bethel Park, PA 15102-1841
Phone (412) 942-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220106000007 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901297704 Reassigns benefits to 3 organizations
I20250124002462 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901297704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Keystone Anesthesia Consultants, LTDGroup PAC ID 2769378751, 51 clinicians
BPW Medical Associates P CGroup PAC ID 7719878081, 54 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

155 Wilson Ave
Washington Hospital
Washington, PA 15301-3336
Phone (724) 225-7000

500 N Lewis Run Rd
Suite 202
Pittsburgh, PA 15122-3048
Phone (412) 469-6964

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Apr 14, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 14, 2023 Accepting new patients
BPW Medical Associates P C Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2023 Accepting new patients
Wheeling Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Keystone Anesthesia Consultants, LTD CurrentSince Dec 1, 2021 Accepting new patients
Wheeling Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients

Locations

103 Pleasant Dr
Aliquippa, PA 15001
Phone (724) 203-3340

2000 Oxford Dr
Ste 303
Bethel Park, PA 15102
Phone (412) 572-6066

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1675 Route 51
Jefferson Hls, PA 15025
Phone (412) 382-7155

100 Stoops Dr
Monongahela, PA 15063
Phone (724) 483-2760

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

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

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

100 Trich Dr
Ste 1
Washington, PA 15301
Phone (724) 884-0710

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

500 N Lewis Run Rd
Ste 202
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 469-6952

14000 Perry Hwy
Ste 100
Wexford, PA 15090
Phone (724) 776-2111

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

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 4

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1477218733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 303",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "412-942-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-225-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPICH",
        "first_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN663769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.