Individual provider Active NPI

Suzanne L Bednarek, CRNA

  • Certified Registered Nurse Anesthetist
  • Liverpool, NY
National Provider Identifier
1548391998
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
298749 Issued in NY
Practice address
225 Greenfield Pkwy Ste 105
Liverpool, NY 13088-6656
Phone
(315) 451-6911
Fax
(315) 451-1540
NPI assigned
Mar 8, 2007
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 298749 NY Primary

Addresses

Primary practice location

225 Greenfield Pkwy Ste 105
Liverpool, NY 13088-6656

Mailing address

3614 Henneberry Rd
Jamesville, NY 13078-8600
Phone (315) 682-2833

Other practice location 1

800 Irving Ave
Syracuse, NY 13210-2716
Phone (315) 425-4400 ext. 52294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000359 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527015445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Medical Anesthesiology Group IncGroup PAC ID 8921992389, 76 clinicians

Practice addresses (Care Compare)

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4720

Merit-based Incentive Payment System (MIPS)

Final score
99.42 of 100Reported as group
Quality
97.55
Promoting interoperability
100
Improvement activities
40
Cost
82.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298749NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology of Central New York, PC CurrentSince Sep 8, 2019 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients
Chag Anesthesia PC CurrentSince Jun 26, 2019 Accepting new patients
Upstate Medical Anesthesiology Group, Inc. CurrentSince Nov 4, 2019 Accepting new patients
Maple Gate Anesthesiologists, P.C. Past Accepting new patients
Holdings,LLC Past Accepting new patients

Locations

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

550 Harrison St
Ste 230
Syracuse, NY 13202
Phone (315) 472-3064

5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 6

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1548391998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 HENNEBERRY RD",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130788600",
            "telephone_number": "315-682-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GREENFIELD PKWY STE 105",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886656",
            "telephone_number": "315-451-6911",
            "fax_number": "315-451-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102716",
            "country_code": "US",
            "telephone_number": "315-425-4400 x52294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "298749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.