Individual provider Active NPI

Susan Marie Shingledecker, CRNA

  • Certified Registered Nurse Anesthetist
  • New Castle, PA
National Provider Identifier
1609174333
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
086375 Issued in PA
Practice address
1211 Wilmington Ave
New Castle, PA 16105-2516
Phone
(724) 656-4092
Fax
(724) 269-9476
NPI assigned
Mar 4, 2011
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN349335L PA
Registered Nurse 163W00000X RN276058 OH
Certified Registered Nurse Anesthetist 367500000X 086375 PA Primary

Addresses

Primary practice location

1211 Wilmington Ave
New Castle, PA 16105-2516

Mailing address

1601 Motor Inn Dr
Suite 310
Girard, OH 44420-2420
Phone (724) 824-4096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000163 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800071895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1211 Wilmington Ave
Jameson Hospital
New Castle, PA 16105-2516
Phone (724) 658-9001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN276058OHMDRegistered Nurse
RN349335LPAMDRegistered Nurse
086375PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Global Anesthesia Services, Inc Past Accepting new patients
Arthritis Center of Neo Past Accepting new patients

Locations

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

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

Organizations & group practices 5

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 5

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": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1609174333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MOTOR INN DR",
            "address_2": "SUITE 310",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202420",
            "telephone_number": "724-824-4096",
            "fax_number": "724-269-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 WILMINGTON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161052516",
            "telephone_number": "724-656-4092",
            "fax_number": "724-269-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGLEDECKER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN349335L",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN276058",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "086375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.