Active NPI
Nithin Prabhu, CRNA
- Certified Registered Nurse Anesthetist
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- TLRN061071
- Practice address
- 112 N 7TH St
Chambersburg, PA 17201-1720 - Phone
- (717) 267-7164
- Fax
- (717) 267-7414
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN1035275 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024170641 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | TLRN061071 | PA | Primary |
Addresses
Primary practice location
112 N 7TH St
Chambersburg, PA 17201-1720
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312
Other practice location 2
1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-6851
Other practice location 3
12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6072
Other practice location 4
501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12652537 | Other | CAQH | |
| 91334 | Other | AANA | |
| 103849440 | Medicaid | PA | |
| 1639418668 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Virginia Commonwealth University, School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
25 Monument Rd
York, PA 17403-5073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1035275 | DC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients |
Locations
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
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 and National Provider Directory roles.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Toxicology
- Medical Toxicology (Emergency Medicine) Physician
- York, PA
- NPI 1265123475
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1639418668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 7TH ST",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011720",
"telephone_number": "717-267-7164",
"fax_number": "717-267-7414"
}
],
"practiceLocations": [
{
"address_1": "835 5th Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014220",
"country_code": "US",
"telephone_number": "717-217-4312",
"fax_number": "717-217-4314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 Southern Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200324623",
"country_code": "US",
"telephone_number": "202-574-6851",
"fax_number": "202-279-7370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 St Paul Dr",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "17201",
"country_code": "US",
"telephone_number": "717-217-6072",
"fax_number": "717-217-6952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-765-3425",
"fax_number": "717-765-3478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRABHU",
"first_name": "NITHIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RN1035275",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024170641",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "TLRN061071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12652537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "91334",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103849440",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1639418668",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.