Individual provider Active NPI

Joseph Capolupo, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Augusta, GA
National Provider Identifier
1730807207
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN315848 Issued in GA
Practice address
1508 Myrtle LN
Augusta, GA 30904-5020
Phone
(818) 632-7700
NPI assigned
Aug 19, 2022
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95106383 CA
Certified Registered Nurse Anesthetist 367500000X 958121 NY
Certified Registered Nurse Anesthetist 367500000X RN315848 GA Primary

Addresses

Primary practice location

1508 Myrtle LN
Augusta, GA 30904-5020

Mailing address

1508 Myrtle LN
Augusta, GA 30904-5020
Phone (818) 632-7700

Other practice location 1

5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230109000539 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395115349 Reassigns benefits to 2 organizations
I20231204000835 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395115349 Reassigns benefits to 4 organizations
I20241021002926 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395115349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Baptist LLCGroup PAC ID 6901099688, 80 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95106383CAMDRegistered Nurse
RN315848GAMDCertified Registered Nurse Anesthetist
958121NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2024 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 27, 2023 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2024 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2024 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Sep 16, 2024 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Jan 1, 2023 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2024 Accepting new patients

Locations

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

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

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1730807207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MYRTLE LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045020",
            "telephone_number": "818-632-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MYRTLE LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045020",
            "telephone_number": "818-632-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 E Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132123291",
            "country_code": "US",
            "telephone_number": "315-418-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOLUPO",
        "first_name": "JOSEPH",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95106383",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "958121",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN315848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.