Individual provider Active NPI

Stephanie Stivala, CRNA

  • Certified Registered Nurse Anesthetist
  • Scranton, PA
National Provider Identifier
1083914360
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00909600 Issued in NJ
Practice address
1800 Mulberry St
Scranton, PA 18510-2369
Phone
(570) 969-8000
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ00909600 NJ Primary
Certified Registered Nurse Anesthetist 367500000X RN577188 PA

Addresses

Primary practice location

1800 Mulberry St
Scranton, PA 18510-2369

Mailing address

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-8000

Other names 1

  • Stephanie Scheller Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sgstivala@geisinger.edu
Direct Messaging Address sstivala94545@directvirtua.org
Direct Messaging Address sstivala94545@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130219000043 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082869284 Reassigns benefits to 1 organization
I20190528001073 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082869284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

100 Medical Ctr Way
Somers Point, NJ 08244-2300
Phone (609) 653-3500

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 1, 2014 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 3, 2023 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Feb 1, 2024 Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2023 Accepting new patients
West Jersey Anesthesia Associate PA CurrentSince Jun 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2014 Accepting new patients
Geisinger Clinic Current Accepting new patients
Community Medical Care, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

100 Bowman Dr
#2
Voorhees, NJ 08043

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Interoperability endpoints

  • Direct secure messaging: sstivala94545@directvirtua.org

Organizations & group practices 8

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 2

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1083914360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-969-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-969-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVALA",
        "first_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00909600",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN577188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgstivala@geisinger.edu",
            "affiliation": "N",
            "address_1": "1800 Mulberry St",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185102369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstivala94545@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr # 2",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstivala94545@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SCHELLER",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.