Individual provider Active NPI

Jill Carla Palanzo, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1699757245
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN236637L Issued in PA
Practice address
5100 W Tilghman St Ste 315
Allentown, PA 18104-9166
Phone
(610) 395-4044
Fax
(610) 395-5693
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 RN236637L PA Primary

Addresses

Primary practice location

5100 W Tilghman St Ste 315
Allentown, PA 18104-9166

Mailing address

5100 W Tilghman St Ste 315
Allentown, PA 18104-9166
Phone (610) 395-4044

Other identifiers 1

IdentifierTypeStateIssuer
001618755MedicaidPA

Other names 1

  • Jill Carla Casper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Anesthesia Associates, P.C. CurrentSince Dec 1, 1994 Accepting new patients
Lisa S. Bunin, M.D. Past Accepting new patients
Ephrata Community Hospital PastSince Nov 10, 2019 Accepting new patients

Locations

5000 W Tilghman St
Ste 240
Allentown, PA 18104
Phone (610) 395-4044

1611 Pond Rd
Ste 403
Allentown, PA 18104
Phone (610) 289-1210

5100 W Tilghman St
Ste 315
Allentown, PA 18104
Phone (610) 395-4044

92 Tuscarora St
Harrisburg, PA 17104
Phone (717) 232-0843

390 Middletown Blvd
Ste 612
Langhorne, PA 19047
Phone (215) 370-8116

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1699757245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TILGHMAN ST STE 315",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049166",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TILGHMAN ST STE 315",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049166",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANZO",
        "first_name": "JILL",
        "middle_name": "CARLA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN236637L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001618755",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CASPER",
            "middle_name": "CARLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.