Individual provider Active NPI

Scott K Wilcher, CRNA

  • Certified Registered Nurse Anesthetist
  • West Grove, PA
National Provider Identifier
1598873069
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN328977L Issued in PA
Practice address
1015 W Baltimore Pike
West Grove, PA 19390-9459
Phone
(610) 869-1000
NPI assigned
Aug 26, 2006
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 RN328977L PA Primary

Addresses

Primary practice location

1015 W Baltimore Pike
West Grove, PA 19390-9459

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 954-3000

Other identifiers 2

IdentifierTypeStateIssuer
430034224OtherPARAILROAD MEDICARE PTAN
43546OtherPAAANA NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000311 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799729794 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN328977LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anestiplus, Inc. CurrentSince Dec 27, 2023 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2014 Accepting new patients

Locations

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

460 Creamery Way
Exton, PA 19341
Phone (610) 280-0340

460 Creamery Way
Ste 102
Exton, PA 19341
Phone (610) 280-0340

123 W Germantown Pike
Ste 2
Norristown, PA 19401
Phone (610) 278-7455

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

Organizations & group practices 2

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1598873069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-954-3000",
            "fax_number": "519-954-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W BALTIMORE PIKE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909459",
            "telephone_number": "610-869-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCHER",
        "first_name": "SCOTT",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN328977L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "430034224",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA NUMBER",
            "identifier": "43546",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.