Karen K Chmielewski, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Mount Holly, NJ

NPI 1679517072 · NPPES record last updated Oct 8, 2008

Key facts

NPI
1679517072
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
26NR04980200 (NJ)
Practice address
120 Madison Ave
Mount Holly, NJ 08060-2055
Phone
(609) 261-1160
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Service Fund of Deborah- Anesthesia (25 clinicians)

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

Hospital & facility affiliations

  • Deborah Heart and Lung Center Hospital · Browns Mills, NJ · CCN 310031

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20081030000000 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436218849 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Anesthesiology Associates PA Current
since Oct 20, 2020
Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center Current Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current
since Jul 28, 2008
Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR04980200 NJ Yes

Addresses

Primary practice location

120 Madison Ave
Mount Holly, NJ 08060-2055

Mailing address

PO Box 95000-2130
Philadelphia, PA 19195-2130
Phone (201) 804-2800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2008.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1679517072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2130",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952130",
            "telephone_number": "201-804-2800",
            "fax_number": "201-804-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602055",
            "telephone_number": "609-261-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIELEWSKI",
        "first_name": "KAREN",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR04980200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

All providers in Mount Holly, NJ · Certified Registered Nurse Anesthetist in New Jersey

Sources for this page

Verify at the official NPI Registry.