Active NPI
Nathaly Palacios, C.R.N.A
- Certified Registered Nurse Anesthetist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 642249-1
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7606 - Phone
- (718) 466-8153
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
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
- Saranac Lake, NY
- NPI 1063658961
Nurse Anesthetist, Certified Registered, NY
-
- Certified Registered Nurse Anesthetist
- Smyrna, GA
- NPI 1316214604
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1801843933
GA
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ocilla, GA
- NPI 1275754103
GA, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Anesthesia of New York, P.C.
Practice addresses (Care Compare)
529 Central Ave
Dunkirk, NY 14048-2514
Phone (716) 366-1111
Hospital & facility affiliations
- Brooks-TLC Hospital System, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150604000147 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325369234 | Reassigns benefits to 5 organizations |
| I20160127001539 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325369234 | Reassigns benefits to 12 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200284 | GA | MD | Certified Registered Nurse Anesthetist |
| 642249-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Anesthesia Services, PC | Current | Accepting new patients | |
| Au Medical Associates Anesthesia Billing Services, LLC | Current | Accepting new patients | |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Greater Atlanta Anesthesia, LLC | Current | Accepting new patients | |
| Buford Eye Surgery Center | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Premier Anesthesia of New York, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ahs Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Irwin County Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Canton Eye Surgery Center | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Ahs Surgery Center Canton LLC | Past | Accepting new patients |
Locations (25 of 33)
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022
201 Kimberly Way
Ste 104
Canton, GA 30114
201 Kimberly Way
Ste 100
Canton, GA 30114
970 Sanders Rd
Ste 100
Cumming, GA 30041
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340
763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994
301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800
34 Upper Riverdale Rd SE
Ste 201B
Riverdale, GA 30274
Phone (678) 904-0094
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082
3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960
4275 Johns Creek Pkwy
Suwanee, GA 30024
Phone (470) 567-9073
1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222
900 Towne Lake Pkwy
Ste 310
Woodstock, GA 30189
Phone (770) 926-0071
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
111 E 210th St
Bronx, NY 10467
3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 200284 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 642249-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1650 Grand Concourse
Bronx, NY 10457-7606
Mailing address
11781 Lee Jackson Memorial Hwy
Ste 550
Fairfax, VA 22033-3309
Phone (571) 777-5164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2015.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1922492529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "STE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5164",
"fax_number": "703-890-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-466-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "NATHALY",
"credential": "C.R.N.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "200284",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "642249-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.