Individual provider Active NPI

Bethani Lynn Decroo, CRNA

  • Certified Registered Nurse Anesthetist
  • Meriden, CT
National Provider Identifier
1679834360
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024192871 Issued in VA
Practice address
435 Lewis Ave
Meriden, CT 06451-2101
Phone
(203) 694-8200
NPI assigned
May 30, 2012
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024192871 VA Primary
Certified Registered Nurse Anesthetist 367500000X 12.004990 CT

Addresses

Primary practice location

435 Lewis Ave
Meriden, CT 06451-2101

Mailing address

132 Rodgers Dr
Lower Burrell, PA 15068-3125
Phone (724) 493-7431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, PA, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120711000251 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022273341
I20190708000679 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022273341 Reassigns benefits to 6 organizations
I20250322000101 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022273341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
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)

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2200

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12.004990CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 3, 2025 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Mar 7, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Mount Nittany Medical Center CurrentSince Aug 7, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 3, 2025 Accepting new patients
Tyrone Hospital CurrentSince Apr 20, 2025 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Mar 7, 2025 Accepting new patients
Mount Nittany Medical Center Nurse Anesthetist, Certified Registered CurrentSince Aug 7, 2019 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Apr 20, 2025 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
J C Blair Medical Services Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2020 Accepting new patients
Steven Kahn MD PC Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

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

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1679834360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RODGERS DR",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683125",
            "telephone_number": "724-493-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512101",
            "telephone_number": "203-694-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECROO",
        "first_name": "BETHANI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024192871",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "12.004990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.