Active NPI
Charlotte Caroline Frances Martelo, CRNA
- Certified Registered Nurse Anesthetist
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 567245
- Practice address
- 43 Kensico Dr
2ND Floor
Mount Kisco, NY 10549-1009 - Phone
- (800) 362-6220
- Fax
- (914) 666-6777
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- 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 | 567245 | NY | Primary |
Addresses
Primary practice location
43 Kensico Dr
2ND Floor
Mount Kisco, NY 10549-1009
Mailing address
43 Kensico Dr
2ND Floor
Mount Kisco, NY 10549-1009
Phone (800) 362-6220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Regional Anesthesia, PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Past | Accepting new patients |
| Durham Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
Organizations & group practices 4
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Specialist
- Durham, NC
- NPI 1952486946
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Specialist
- Durham, NC
- NPI 1730275744
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1972589125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 KENSICO DR",
"address_2": "2ND FLOOR",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491009",
"telephone_number": "800-362-6220",
"fax_number": "914-666-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 KENSICO DR",
"address_2": "2ND FLOOR",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491009",
"telephone_number": "800-362-6220",
"fax_number": "914-666-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELO",
"first_name": "CHARLOTTE",
"middle_name": "CAROLINE FRANCES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "567245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.