KATHLEEN MILLER CRNA NPI 1003001041
Nurse Anesthetist, Certified Registered in Beaver, PA
About KATHLEEN MILLER
Kathleen Miller is a provider established in Beaver, Pennsylvania and her medical specialization is nurse anesthetist, certified registered with more than 13 years of experience. The NPI number of Kathleen Miller is 1003001041 and was assigned on September 2007. The practitioner's primary taxonomy code is 367500000X with license number RN522303L (PA). The provider is registered as an individual and her NPI record was last updated 12 years ago. Kathleen Miller is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Ns/lij Hs-north Shore University Hospital At Manhasset.
| NPI | 1003001041 |
| Provider Name | KATHLEEN MILLER CRNA |
| Provider Location Address | 1000 DUTCH RIDGE RD BEAVER, PA 15009 |
| Provider Mailing Address | 2800 PATTERSON DR ALIQUIPPA, PA 15001 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-12-2007 |
| Last Update Date | 09-12-2007 |
Primary Taxonomy
| Taxonomy Code | 367500000X |
| Classification | Nurse Anesthetist, Certified Registered |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | RN522303L |
| License State | PA |
| Taxonomy Description | (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Business Address
KATHLEEN MILLER CRNA
1000 DUTCH RIDGE RD
BEAVER, PA
ZIP 15009
Phone: (724) 773-4621
Fax: (724) 773-4696
Mailing Address
KATHLEEN MILLER CRNA
2800 PATTERSON DR
ALIQUIPPA, PA
ZIP 15001
Phone: (724) 375-1919
Medicare Participation
| PECOS PAC ID | 1355435108 |
| PECOS Enrollment ID | I20070924000582, I20190220002550 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. |
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) |
|---|---|---|---|---|
| NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET | 300 COMMUNITY DRIVE MANHASSET, NY 11030 | (516) 562-0100 | Acute Care Hospitals | 330106 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| RN522303L | OTHER (01) | PA |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033180344 | DR. MICHAEL WILLIAM GABRIELE M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1194796359 | DR. LISA VIOLI ROSS M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1235111238 | EDWIN HOWARD PAGE JR. M.D. Individual | Emergency Medicine | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-3498 |
| 1235129990 | RUTH E WONG-PEREZ M.D. Individual | Emergency Medicine | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-2174 |
| 1275520470 | LEONARD A DERIGGI MD Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD DEPARTMENT OF RADIOLOGY BEAVER, PA 15009 (724) 773-4567 |
| 1285604660 | DR. DEBORAH DAWSON TROY M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1285624569 | DR. RICHARD LOUIS MAENZA MD Individual | Emergency Medicine | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 555-1212 |
| 1457321937 | DR. DANIEL PHILIP GREENLER M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1487644530 | MRS. THERESE IRENE DENINNO PA-C Individual | Physician Assistant | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-7658 |
| 1487653879 | MRS. TRISHA LOUISE SANDERS PA-C Individual | Physician Assistant (Medical) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-1416 |
| 1508853706 | THEODORE J MOLNAR MD Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1528067071 | MS. CARRIE ANN DONALDSON PA-C Individual | Physician Assistant (Medical) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-7658 |
| 1598742090 | SPECIAL SERVICES CARDIOLOGY Organization | Internal Medicine (Cardiovascular Disease) | 1000 DUTCH RIDGE RD THE MEDICAL CENTER BEAVER, PA 15009 (724) 728-7000 |
| 1609873181 | DR. JOHN RUSSELL LUELLEN M.D. Individual | Emergency Medicine | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-3418 |
| 1689644031 | DR. JACK MICHAEL PRESTON M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1699746834 | DR. SUNG HAK HONG M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1831160142 | DR. EDWARD HARRIS ESTRIN M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1861462319 | DR. HANK EVAN MARKOWITZ M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1871564047 | DR. MARK ALEXANDER SCHNURER M.D. Individual | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD BEAVER, PA 15009 (724) 773-4567 |
| 1881672434 | BRIGHTON RADIOLOGY ASSOCIATES, P.C. Organization | Radiology (Diagnostic Radiology) | 1000 DUTCH RIDGE RD THE MEDICAL CENTER BEAVER, PA 15009 (724) 773-4567 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.