Active NPI
Janet Walleck, CRNA
- Certified Registered Nurse Anesthetist
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 60816
- Practice address
- Wvu Hosp 1 Medical Drive
Morgantown, WV 26506 - Phone
- (304) 598-4000
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN328553L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 60816 | WV | Primary |
Addresses
Primary practice location
Wvu Hosp 1 Medical Drive
Morgantown, WV 26506
Mailing address
303 Munnell Street
Canonsburg, PA 15317
Phone (724) 809-4033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00384420 | Other | RAILROAD MEDICARE | |
| 2321991 | Medicaid | OH | |
| 2605199000 | Medicaid | WV | |
| 0018886610009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
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)
1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200
300 Halket St
Pittsburgh, PA 15213-3108
815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN328553L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rgal Anesthesia Services LLC | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| St Clair Anesthesiology Associates Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients | |
| Wheeling Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Canonsburg General Hospital | Past | Accepting new patients | |
| Pittsburgh Cardiac Electrophysiology Associates PC | Past | Accepting new patients | |
| Pittsburgh Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Organizations & group practices 13
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1699055251
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1154380384
Nurse Anesthetist, Certified Registered
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Canonsburg, PA
- NPI 1962401497
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1093701484
-
- Clinical Cardiac Electrophysiology Physician
- Macon, GA
- NPI 1245255298
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1952311508
-
- Psychiatric Hospital Unit
- Pittsburgh, PA
- NPI 1225004047
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1881695146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1902886187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MUNNELL STREET",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "15317",
"telephone_number": "724-809-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WVU HOSP 1 MEDICAL DRIVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506",
"telephone_number": "304-598-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLECK",
"first_name": "JANET",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN328553L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "60816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00384420",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2321991",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2605199000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018886610009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.