Individual provider Active NPI

Nancy Johnstone-Bradshaw, CRNA

  • Certified Registered Nurse Anesthetist
  • Yonkers, NY
National Provider Identifier
1699776278
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
385672 Issued in NY
Practice address
127 S Broadway
Saint Joseph's Medical Center
Yonkers, NY 10701-4006
Phone
(914) 378-7000
Fax
(845) 357-5777
NPI assigned
Aug 9, 2005
Last updated
Jun 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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 385672 NY Primary

Addresses

Primary practice location

127 S Broadway
Saint Joseph's Medical Center
Yonkers, NY 10701-4006

Mailing address

100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775

Other names 1

  • Nancy Johnstone Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000749 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113816885 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Medical Management CorpGroup PAC ID 5799193074, 27 clinicians
Mark J Coronel MD PCGroup PAC ID 5890958979, 7 clinicians

Practice addresses (Care Compare)

1324 Motor Pkwy
Suite 101
Islandia, NY 11749-5226
Phone (631) 582-8266

383 N Sunrise Service Rd
Suite 2
Manorville, NY 11949-9603
Phone (631) 591-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
385672NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 31, 2018 Accepting new patients
New York University CurrentSince Aug 1, 2024 Accepting new patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jul 31, 2018 Accepting new patients
Long Island Digestive Endoscopy Center, LLC CurrentSince Jun 9, 2024 Accepting new patients
New York Gi Center LLC CurrentSince Nov 1, 2013 Accepting new patients
North Shore Digestive Medicine PC CurrentSince Feb 9, 2023 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Nov 1, 2017 Accepting new patients
Mark J Coronel MD PC CurrentSince May 6, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 1, 2018 Accepting new patients
Twin Forks Medical PC CurrentSince Jun 19, 2023 Accepting new patients
New York University Current Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Sep 16, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
New York University CurrentSince Aug 1, 2024 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Park Avenue Aesthetic Surgery, PC Past Accepting new patients
East End Gastroenterology PLLC PastSince Jan 1, 2023 Accepting new patients
Lawrence M Kamhi MD Anesthesia Services PC Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

332 W Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 723-0600

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

383 N Sunrise Service Rd
Ste 2
Manorville, NY 11949
Phone (631) 591-3000

118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

974 Route 45
Pomona, NY 10970
Phone (845) 354-1113

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450

50 Route 111
Ste 302
Smithtown, NY 11787
Phone (631) 724-1178

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4303/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nancy.bradshaw.1@4303.direct.athenahealth.com

Organizations & group practices 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1699776278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 105",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "address_2": "SAINT JOSEPH'S MEDICAL CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-7000",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE-BRADSHAW",
        "first_name": "NANCY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "385672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "JOHNSTONE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.