Individual provider Active NPI

Jeffrey Patrick Petrillo, CRNA

  • Certified Registered Nurse Anesthetist
  • Norristown, PA
National Provider Identifier
1942280110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN317474L/52264 Issued in PA
Practice address
1330 Powell St
Norristown, PA 19401-3353
Phone
(610) 270-2717
NPI assigned
Jan 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 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

Enrollment IDStateProvider typePAC IDDetails
I20060425000419 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810907672 Reassigns benefits to 5 organizations

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
United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians
Professional Anesthesia Services of North America PCGroup PAC ID 1658698824, 49 clinicians
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians

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

LicenseStateTypeSpecialty
RN317474L/52264PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Anesthesia Services PC Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2010 Accepting new patients
Anthracite Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Dec 31, 2023 Accepting new patients
Associates in Anesthesia, Inc. CurrentSince Jul 12, 2022 Accepting new patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2015 Accepting new patients
Associates in Anesthesia Past Accepting new patients
Anesthesia Specialists of Bethlehem, PC Nurse Anesthetist, Certified Registered PastSince Oct 21, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.