Individual provider Active NPI

Marc D Shroyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Somerset, PA
National Provider Identifier
1699005462
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN526119L Issued in PA
Practice address
225 S Center Ave
Somerset, PA 15501-2033
Phone
(814) 443-5000
NPI assigned
Dec 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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 RN526119L PA Primary

Addresses

Primary practice location

225 S Center Ave
Somerset, PA 15501-2033

Mailing address

1699 Washington Rd
Suite 307
Pittsburgh, PA 15228-1629
Phone (412) 831-3744

Other identifiers 1

IdentifierTypeStateIssuer
RN526119LOtherPARN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000069 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991849861 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novus Pennsylvania Professional CorporationGroup PAC ID 6800259631, 18 clinicians

Practice addresses (Care Compare)

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Hospital & facility affiliations

  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN526119LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc CurrentSince Sep 1, 2014 Accepting new patients
Windber Hospital, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Novus Pennsylvania Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Fink Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Windber Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1421 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-2224

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1699 Washington Rd
Ste 307
Pittsburgh, PA 15228
Phone (412) 831-3744

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1699005462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 WASHINGTON RD",
            "address_2": "SUITE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281629",
            "telephone_number": "412-831-3744",
            "fax_number": "412-831-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012033",
            "telephone_number": "814-443-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "MARC",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN526119L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN526119L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.