Individual provider Active NPI

Nathaly Palacios, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • Bronx, NY
National Provider Identifier
1922492529
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
642249-1 Issued in NY
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.

View all 20

Hospital & facility affiliations 4

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, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of New York, P.C. 50 clinicians

Practice addresses (Care Compare)

529 Central Ave
Dunkirk, NY 14048-2514
Phone (716) 366-1111

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
200284GAMDCertified Registered Nurse Anesthetist
642249-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Anesthesia Services, PC CurrentSince Apr 9, 2015 Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC CurrentSince Jul 13, 2020 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Jul 27, 2021 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Jul 15, 2017 Accepting new patients
Buford Eye Surgery Center CurrentSince Feb 1, 2016 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Nov 3, 2021 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Jan 17, 2019 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2017 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2017 Accepting new patients
Canton Eye Surgery Center CurrentSince Feb 1, 2016 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Dec 1, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Nov 3, 2021 Accepting new patients
Ahs Surgery Center Canton LLC PastSince Nov 5, 2016 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)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 200284 GA
Certified Registered Nurse Anesthetist 367500000X 642249-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.