Individual provider Active NPI

Paula Griesacker

  • Certified Registered Nurse Anesthetist
  • Erie, PA
National Provider Identifier
1811214349
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN323432L Issued in PA
Practice address
354 Craig St
Erie, PA 16508-2710
Phone
(814) 746-0645
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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 RN323432L PA Primary

Addresses

Primary practice location

354 Craig St
Erie, PA 16508-2710

Mailing address

3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, MA, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191107003193 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567586423 Reassigns benefits to 1 organization
I20200724001282 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567586423
I20201021003152 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567586423 Reassigns benefits to 3 organizations
I20210302000455 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567586423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Physicians of Harvard Medical Faculty Physicians at Beth IsGroup PAC ID 6305749987, shared by 7 NPIs, 566 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (781) 453-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 11, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 10, 2022 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Oct 6, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 11, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Oct 6, 2022 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 10, 2022 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Anesthesiology Services Network LTD CurrentSince Oct 1, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1811214349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 CRAIG ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082710",
            "telephone_number": "814-746-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESACKER",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN323432L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.