Individual provider Active NPI

Marni Jill Clyman, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1932282001
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
553363 Issued in PA
Practice address
800 Spruce St
Philadelphia, PA 19107-6130
Phone
(215) 829-3867
Fax
(215) 829-5567
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 553363 PA Primary

Addresses

Primary practice location

800 Spruce St
Philadelphia, PA 19107-6130

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (706) 650-0705

Other names 1

  • Marni Jill Klein Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000564 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214820257 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians
Pennsylvania Anesthesia Coalition LLCGroup PAC ID 4284040189, 14 clinicians
WCS Sedation, LLCGroup PAC ID 8820349582, 7 clinicians

Practice addresses (Care Compare)

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

700 S Henderson Rd
Suite 335
King of Prussia, PA 19406-4206
Phone (610) 337-2828

915 Old Fern Hill Rd
Suite 300
West Chester, PA 19380-3431
Phone (610) 431-3122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
553363PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Anesthesia Coalition LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Jan 15, 2021 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Jan 1, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jul 1, 2019 Accepting new patients
WCS Sedation, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 24, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jul 1, 2019 Accepting new patients
Anestiplus, Inc. CurrentSince Dec 27, 2023 Accepting new patients
United Anesthesia Services PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Society Hill Anesthesia Consultants of New Jersey, PC Past Accepting new patients

Locations

804 Scott Nixon Memorial Dr
Martinez, GA 30907

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

707 Eagleview Blvd
Ste 100
Exton, PA 19341

700 S Henderson Rd
Ste 335
Kng of Prussa, PA 19406
Phone (610) 337-2828

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

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

1000 N Broad St
Ste 2
Lansdale, PA 19446
Phone (215) 412-9115

325 Central Ave
Fl 2
Malvern, PA 19355

325 Central Ave
Ste 200
Malvern, PA 19355

123 W Germantown Pike
Ste 2
Norristown, PA 19401
Phone (610) 278-7455

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

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

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

915 Old Fern Hill Rd
Ste 300
West Chester, PA 19380
Phone 61043131221600

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

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

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

50 Commerce Dr
Wyomissing, PA 19610
Phone (610) 320-0200

Organizations & group practices 12

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932282001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "706-650-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3867",
            "fax_number": "215-829-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYMAN",
        "first_name": "MARNI",
        "middle_name": "JILL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "553363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNI",
            "last_name": "KLEIN",
            "middle_name": "JILL",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 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.

Verify at the official NPI Registry.