Individual provider Active NPI

Andrew Tealey, CRNA

  • Certified Registered Nurse Anesthetist
  • West Chester, PA
National Provider Identifier
1790775302
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN657548 Issued in PA
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

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149632502MedicaidTX
200109250AMedicaidOK
84119UOtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040720000834 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830177963 Reassigns benefits to 1 organization
I20140630000014 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830177963 Reassigns benefits to 1 organization

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
North American Partners in Anesthesia, Pennsylvania , LLCGroup PAC ID 7517960834, 302 clinicians

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 100Reported as individual
Quality
16.51
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
624593TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 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.

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.

Verify at the official NPI Registry.