Individual provider Active NPI

Stacy Lynn Bahner, CRNA

  • Certified Registered Nurse Anesthetist
  • Crystal River, FL
National Provider Identifier
1063469849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9173441 Issued in FL
Practice address
6201 N Suncoast Blvd
Seven Rivers Regional Medical Center
Crystal River, FL 34428-6712
Phone
(352) 795-4008
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9173441 FL Primary

Addresses

Primary practice location

6201 N Suncoast Blvd
Seven Rivers Regional Medical Center
Crystal River, FL 34428-6712

Mailing address

6335 W Settler Dr
Beverly Hills, FL 34465-2083
Phone (352) 527-3889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000158 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416041710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLC 310 clinicians

Practice addresses (Care Compare)

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone (352) 795-6560

6733 Gall Blvd
Zephyrhills, FL 33542-2522
Phone (813) 783-8242

Hospital & facility affiliations

  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Anesthesia Associates P.a. Past Accepting new patients

Locations

6201 N Suncoast Blvd
#Seven
Crystal River, FL 34428
Phone (352) 795-4008

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063469849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 W SETTLER DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652083",
            "telephone_number": "352-527-3889",
            "fax_number": "352-527-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "address_2": "SEVEN RIVERS REGIONAL MEDICAL CENTER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-795-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9173441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.