Sean Nutter
Individual provider Active NPI Certified Registered Nurse Anesthetist · Erie, PA
NPI 1972097129 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1972097129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN627399 (PA)
- Practice address
- 232 W 25TH St
Erie, PA 16544-0002 - Phone
- (814) 452-5000
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fink Anesthesia Inc
Practice addresses (Care Compare)
290 Haida Ave
Hastings, PA 16646-5610
Phone (814) 247-3100
Hospital & facility affiliations
- Lecom Medical Center and Behavioral Health Pav
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180706000373 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163778002 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fink Anesthesia | Current | Accepting new patients | |
| Fink Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| St Vincent Medical Education and Research Institute Inc | Current |
Accepting new patients | |
| Great Lakes Anesthetists | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
155 E State St
Albion, PA 16401
Phone (814) 756-4917
312 W 25th St
Erie, PA 16502
Phone (814) 452-5309
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN627399 | PA | Yes |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-0002
Mailing address
2724 Washington Ave
Erie, PA 16508-1348
Other providers in Erie, PA
- Jan Nubar
- Griffin Nunn
- Nurturing Hearts, Inc.
- Nutrition and Healing Center, Inc.
- Patricia Nutt
- Rebecca Nuzzo
- Christy Jo Nyakana
- Julie Nye
- Michael Kenneth Nye
- Guy Craig O'Brien
All providers in Erie, PA · Certified Registered Nurse Anesthetist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.