SEAN CHRISTOPHER CRUMBOCK CRNA
NPI 1689010647
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Q: What is Sean Crumbock's NPI number?

The NPI number for Sean Crumbock is 1689010647. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Q: What is Sean Crumbock'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 Sean Crumbock was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 17, 2013Accepts Medicare Assignment

111 S 11TH ST STE 8490, PHILADELPHIA, PA 19107(215) 955-7000 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sean Christopher Crumbock Crna NPPES

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

SEAN CHRISTOPHER CRUMBOCK CRNA (NPI 1689010647) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN596527) and active in the NPI registry since May 2013. He is affiliated with Thomas Jefferson University Hospital, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689010647

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSEAN CHRISTOPHER CRUMBOCKCredential: CRNA

Location Address111 S 11TH ST STE 8490Philadelphia, PA 19107-4824

Mailing Address1500 Market St, 24th Floor-west TowerPhiladelphia, PA 19102-2100 · (215) 255-3828 · Fax (215) 255-3577

Phone(215) 955-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 17, 2013

Last NPPES UpdateAugust 30, 2019

✔ NPI 1689010647 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 PA · RN596527

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.

111 S 11TH ST STE 8490, Philadelphia, PA 19107

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Secondary Practice Location 1

Location 1230 N Broad StPhiladelphia, PA 19102-1121 · Phone (215) 762-7922 · Fax (215) 762-8656

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

Sean Christopher Crumbock 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 ID4688891864

PECOS Enrollment IDI20140812001365

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 18

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

DR. DARSI NICOLE PITCHON M.D.

Anesthesiology