Individual provider Active NPI

Jane A Costlow, CRNA

  • Certified Registered Nurse Anesthetist
  • Windber, PA
National Provider Identifier
1821362476
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89292 Issued in PA
Practice address
401 7TH St
Windber, PA 15963-1344
Phone
(814) 467-4578
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Anesthesia and Pain Management, PLLC 61 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9000

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000214 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931362472 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89292PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Memorial Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC CurrentSince Jan 29, 2022 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients

Locations

1086 Franklin St
Ste M4000
Johnstown, PA 15905
Phone (814) 534-7560

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 89292 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

401 7TH St
Windber, PA 15963-1344

Mailing address

401 7TH St
Windber, PA 15963-1344
Phone (814) 467-4578

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 29, 2012.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1821362476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 7TH ST",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631344",
            "telephone_number": "814-467-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 7TH ST",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631344",
            "telephone_number": "814-467-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTLOW",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "89292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.