Individual provider Active NPI

Katie Carroll, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1750874616
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN594050 Issued in PA
Practice address
736 N 38TH St Unit C
Philadelphia, PA 19104-1655
Phone
(267) 322-7700
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 RN594050 PA Primary

Addresses

Primary practice location

736 N 38TH St Unit C
Philadelphia, PA 19104-1655

Mailing address

150 Bluff Ave
North Augusta, SC 29841-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180627001699 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335495753 Reassigns benefits to 5 organizations
I20230124000319 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335495753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services PAGroup PAC ID 9537064498, 201 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

100 Wilmington W Chester Pike
Suite 100
Chadds Ford, PA 19317-9040
Phone (610) 672-4900

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

491 John Young Way
Suite 100
Exton, PA 19341-2567
Phone (484) 872-8408

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2019 Accepting new patients
Chadds Ford Ambulatory Surgical Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Orthomed Staffing LLC CurrentSince Oct 1, 2023 Accepting new patients
NCB Anesthesia Associates, LLC CurrentSince May 1, 2024 Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2023 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2022 Accepting new patients
Anesthesia Services PA CurrentSince Jul 1, 2025 Accepting new patients
Society Hill Anesthesia Consultants of New Jersey, PC Past Accepting new patients

Locations

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

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

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

100 Wilmington W Chester Pike
Ste 100
Chadds Ford, PA 19317
Phone (610) 672-4900

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

491 John Young Way
Ste 100
Exton, PA 19341
Phone (443) 907-6068

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1230 American Blvd
Ste 101
West Chester, PA 19380
Phone (484) 473-6050

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800

1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100

Organizations & group practices 8

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1750874616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BLUFF AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N 38TH ST UNIT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041655",
            "telephone_number": "267-322-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN594050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.