CARLY ANN EGGLESTON CRNA
NPI 1629517214
Nurse Anesthetist, Certified Registered in Youngstown, OH

Q: What is Carly Eggleston's NPI number?

The NPI number for Carly Eggleston is 1629517214. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Q: What is Carly Eggleston'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 Carly Eggleston was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 16, 2017Accepts Medicare Assignment

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-3658(330) 480-3439 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Carly Ann Eggleston Crna NPPES

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

CARLY ANN EGGLESTON CRNA (NPI 1629517214) is an individual nurse anesthetist, certified registered in Youngstown, Ohio, licensed in Ohio (RN361108) and active in the NPI registry since February 2017. She is affiliated with St Elizabeth Youngstown Hospital and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629517214

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameCARLY ANN EGGLESTONCredential: CRNA

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing Address4135 Boardman Canfield Rd, Suite 101Canfield, OH 44406-9803 · (330) 286-5330 · Fax (330) 286-5396

Phone(330) 480-3658

Fax(330) 480-3439

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 16, 2017

✔ NPI 1629517214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code367500000X

License✔ Licensed in OH · RN361108

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.

1044 BELMONT AVE, Youngstown, OH 44504

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Other Identifiers 3

MedicaidPENDINGOH

Medicare PINPENDINGOH

OtherPENDINGCaqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly Ann Eggleston 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 ID4183908700

PECOS Enrollment IDI20170228000142

Medicare Billing Reassignment

Medicare enrollment records show Carly Eggleston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bel-Park Anesthesia Associates, Inc.

Same address

Anesthesiology

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
245 clinicians in this Medicare group

NPI 1508813528 (330) 286-5330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

DR. MICHAEL ALLEN VAN WINKLE D.O

Internal Medicine