Active NPI
Andrew Tealey, CRNA
- Certified Registered Nurse Anesthetist
- West Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN657548
- Practice address
- 1213 Hamilton Dr
West Chester, PA 19380-3307 - Phone
- (918) 808-6823
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 624593 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | RN657548 | PA | Primary |
Addresses
Primary practice location
1213 Hamilton Dr
West Chester, PA 19380-3307
Mailing address
1213 Hamilton Dr
West Chester, PA 19380-3307
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149632502 | Medicaid | TX | |
| 200109250A | Medicaid | OK | |
| 84119U | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 E High St
Pottstown Memorial Medical Center
Pottstown, PA 19464-5008
Phone (610) 327-7008
Merit-based Incentive Payment System (MIPS)
- Final score
- 39.04 of 100
- Quality
- 16.51
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 624593 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gulf Shore Anesthesia Associates PA | Past | Accepting new patients | |
| BMC Anesthesia PC | Past | Accepting new patients | |
| RGV Pain Management PLLC | Past | Accepting new patients |
Locations
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
2412 W Passyunk Ave
Ste 14
Philadelphia, PA 19145
Phone (215) 462-2100
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
-
- Anesthesiology Physician
- Owasso, OK
- NPI 1801829387
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1902862147
-
- Interventional Pain Medicine Physician
- Harlingen, TX
- NPI 1992097661
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1710124490
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1790775302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HAMILTON DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193803307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HAMILTON DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193803307",
"telephone_number": "918-808-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEALEY",
"first_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "624593",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN657548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149632502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200109250A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "84119U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.