Individual provider Active NPI

Trisha Ellen Kiliany, CRNA

  • Certified Registered Nurse Anesthetist
  • Bar Harbor, ME
National Provider Identifier
1508836685
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA243002 Issued in ME
Practice address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone
(207) 288-5081
NPI assigned
Jan 23, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA#AP30006474 WA
Certified Registered Nurse Anesthetist 367500000X RNA243002 ME Primary
Registered Nurse 163W00000X RN00119304 WA
Military Health Care Provider 171000000X NU

Addresses

Primary practice location

10 Wayman LN
Bar Harbor, ME 04609-1625

Mailing address

4810 Point Fosdick Dr NW
Box #224
Gig Harbor, WA 98335-1711
Phone (360) 402-5767

Other practice location 1

800 Alder St
Box 438
South Bend, WA 98586-4900
Phone (360) 875-4558

Other identifiers 4

IdentifierTypeStateIssuer
G8912171OtherWAMDCR PTAN (P)
RNA243002OtherMEMAINE BOARD OF NURSING
G8898257OtherWAMDCR PTAN (K)
367500000XMedicaidWA

Other names 1

  • Mrs. Trisha Kiliany Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061108000208 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880616176 Reassigns benefits to 3 organizations
I20240321003257 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880616176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00119304WAMDRegistered Nurse
CRNA#AP30006474WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 CurrentSince Apr 30, 2007 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2022 Accepting new patients
Pacific County Hospital District 2 CurrentSince Apr 30, 2007 Accepting new patients
West Florida Anesthesia Consultants, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1508836685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 POINT FOSDICK DR NW",
            "address_2": "BOX #224",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "360-402-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Alder St",
            "address_2": "BOX 438",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "WA",
            "postal_code": "985864900",
            "country_code": "US",
            "telephone_number": "360-875-4558",
            "fax_number": "360-875-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILIANY",
        "first_name": "TRISHA",
        "middle_name": "ELLEN",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "CRNA#AP30006474",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA243002",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00119304",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR PTAN (P)",
            "identifier": "G8912171",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF NURSING",
            "identifier": "RNA243002",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR PTAN (K)",
            "identifier": "G8898257",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367500000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "ROSS",
            "middle_name": "KILIANY",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bar Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.