TIMOTHY M. WIRTZ CRNA
NPI 1134471857
Nurse Anesthetist, Certified Registered in Allentown, PA

Q: What is Timothy Wirtz's NPI number?

The NPI number for Timothy Wirtz is 1134471857. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Q: What is Timothy Wirtz's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Wirtz was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2012Accepts Medicare Assignment

1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103(610) 402-8896(610) 402-9029 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Timothy M. Wirtz Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY M. WIRTZ CRNA (NPI 1134471857) is an individual nurse anesthetist, certified registered in Allentown, Pennsylvania, licensed in Pennsylvania (91019) and active in the NPI registry since October 2012. He is affiliated with Schuylkill Medical Center - South Jackson Street and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134471857

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTIMOTHY M. WIRTZCredential: CRNA

Location Address1245 S CEDAR CREST BLVD STE 301Allentown, PA 18103-6258

Mailing Address1245 S Cedar Crest Blvd Ste 301Allentown, PA 18103-6258 · (610) 402-8896 · Fax (610) 402-9029

Phone(610) 402-8896

Fax(610) 402-9029

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 4, 2012

Last NPPES UpdateMarch 25, 2013

✔ NPI 1134471857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in PA · 91019

Definition

(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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN527078-L (PA)

1245 S CEDAR CREST BLVD STE 301, Allentown, PA 18103

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Other Identifiers 10

Other1134471857PA · Geisinger

Other1134471857PA · Highmark

Other9551934PA · Aetna

Other2745893PA · First Priority

Medicaid1027793790001PA

Other1613616PA · Gateway

Other12447546PA · Caqh

Other3888598000PA · Ind. Blue Cross

Other50111779PA · Capital Advantage

Medicare PIN257628QCYPA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy M. Wirtz Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911158951

PECOS Enrollment IDI20121121000269

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390030

Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALINA REYNOLDS CRNA

Nurse Anesthetist, Certified Registered