Active NPI
Keziah Rachel Good, CRNA
- Certified Registered Nurse Anesthetist
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 125481
- Practice address
- 810 Plaza Blvd
Lancaster, PA 17601-2762 - Phone
- (717) 431-2368
- Fax
- (717) 431-2540
- NPI assigned
- Jun 14, 2019
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN574548 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 125481 | PA | Primary |
Addresses
Primary practice location
810 Plaza Blvd
Lancaster, PA 17601-2762
Mailing address
810 Plaza Blvd
Lancaster, PA 17601-2762
Phone (717) 431-2368
Other practice location 1
555 North Duke Street
Lancaster, PA 17602-2250
Phone (717) 544-4676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190812000449 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2567799760 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Plaza Blvd
Suite 101
Lancaster, PA 17601-2762
Phone (717) 431-2368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125481 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Prime Anesthesia Associates PC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients | |
| Lanaster General Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
810 Plaza Blvd
Ste 101
Lancaster, PA 17601
Phone (717) 431-2368
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
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 and National Provider Directory roles.
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Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1538729348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 PLAZA BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012762",
"telephone_number": "717-431-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 PLAZA BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012762",
"telephone_number": "717-431-2368",
"fax_number": "717-431-2540"
}
],
"practiceLocations": [
{
"address_1": "555 North Duke Street",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176022250",
"country_code": "US",
"telephone_number": "717-544-4676",
"fax_number": "717-544-7157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOOD",
"first_name": "KEZIAH",
"middle_name": "RACHEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2025-01-06",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN574548",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "125481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.