Individual provider Active NPI

Brynn Knibbe

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1922629740
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN691420 Issued in PA
Practice address
301 S 8TH St Ste 2L
Philadelphia, PA 19106-4017
Phone
(267) 322-7701
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 RN691420 PA Primary

Addresses

Primary practice location

301 S 8TH St Ste 2L
Philadelphia, PA 19106-4017

Mailing address

2654 Emerald St
Philadelphia, PA 19125-1136
Phone (203) 788-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002001077 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921427436 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN691420PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rgal Anesthesia Services LLC CurrentSince Sep 20, 2023 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2022 Accepting new patients
GSC Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2021 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Jul 1, 2020 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Past Accepting new patients
Society Hill Anesthesia Consultants of New Jersey, PC PastSince May 10, 2020 Accepting new patients

Locations

1800 Byberry Rd
Ste 1101
Huntingdon Vy, PA 19006
Phone (215) 947-7992

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

301 S 8th St
Ste 2L
Philadelphia, PA 19106
Phone (215) 829-7260

2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1922629740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 EMERALD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251136",
            "telephone_number": "203-788-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST STE 2L",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064017",
            "telephone_number": "267-322-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIBBE",
        "first_name": "BRYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN691420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.