Active NPI
Jeffrey Patrick Petrillo, CRNA
- Certified Registered Nurse Anesthetist
- Norristown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN317474L/52264
- Practice address
- 1330 Powell St
Norristown, PA 19401-3353 - Phone
- (610) 270-2717
- NPI assigned
- Jan 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN317474L/52264 | PA | Primary |
Addresses
Primary practice location
1330 Powell St
Norristown, PA 19401-3353
Mailing address
133 Flint Dr
Harleysville, PA 19438-1862
Phone (215) 513-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone (215) 368-2100
1503 N Cedar Crest Blvd
Allentown, PA 18104-2310
Phone (610) 861-8080
2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600
2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080
744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN317474L/52264 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Anesthesia Services PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anthracite Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rgal Anesthesia Services LLC | Current | Accepting new patients | |
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Professional Anesthesia Services of North America P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associates in Anesthesia | Past | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
95 Highland Ave
Ste 100
Bethlehem, PA 18017
Phone (610) 868-8600
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
219 S Balliet St
Frackville, PA 17931
Phone (570) 874-3404
61 Industrial Dr
Hamburg, PA 19526
Phone (570) 617-7024
10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400
1060 N Church St
Hazle Township, PA 18202
Phone (570) 459-9927
1062 N Church St
Hazle Township, PA 18202
Phone (570) 459-5102
490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
790 Newtown Yardley Rd
Ste 415
Newtown, PA 18940
Phone (215) 579-2004
2000 Grant Ave
Philadelphia, PA 19115
Phone (215) 992-6000
20 N Sunnybrook Rd
Ste 2
Pottstown, PA 19464
Phone (484) 374-2600
201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444
48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520
575 E Norwegian St
Pottsville, PA 17901
Phone (570) 622-1200
817 Lawn Ave
Bldg B
Sellersville, PA 18960
Phone (215) 453-3050
37 Medical Crossing Rd
Tamaqua, PA 18252
Phone (215) 928-3180
744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400
100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800
1300 Broadcasting Rd
Wyomissing, PA 19610
Phone (570) 328-4444
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lancaster, PA
- NPI 1699055251
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hamburg, PA
- NPI 1366168353
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lansdale Hospital
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942280110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 FLINT DR",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194381862",
"telephone_number": "215-513-9333",
"fax_number": "215-513-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 POWELL ST",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194013353",
"telephone_number": "610-270-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRILLO",
"first_name": "JEFFREY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN317474L/52264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norristown, 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.