Individual provider Active NPI

Tiffany C Steckley, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1093942575
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
556904 Issued in KS
Practice address
929 N Saint Francis St
Wichita, KS 67214-3821
Phone
(800) 374-5326
Fax
(800) 374-7656
NPI assigned
Jun 11, 2009
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 139538 KS
Certified Registered Nurse Anesthetist 367500000X 556904 KS Primary
Registered Nurse 163W00000X 1499722072 KS
Registered Nurse 163W00000X 707588 TX

Addresses

Primary practice location

929 N Saint Francis St
Wichita, KS 67214-3821

Mailing address

PO Box 356
Wichita, KS 67201-0356
Phone (800) 374-5326

Other identifiers 2

IdentifierTypeStateIssuer
P00795821OtherKSRR MEDICARE GROUP CQ2302
200623270AMedicaidKS

Other names 1

  • Tiffaney Shea Crane Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000448 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597802777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Anesthesia of Wichita LLCGroup PAC ID 2567503808, 9 clinicians

Practice addresses (Care Compare)

3601 N Webb Rd
Wichita, KS 67226-8129
Phone (316) 630-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1499722072KSMDRegistered Nurse
707588TXMDRegistered Nurse
139538KSMDCertified Registered Nurse Anesthetist
556904KSMDCertified Registered Nurse Anesthetist

Interoperability endpoints

  • Direct secure messaging: tiffany.steckley@khindirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1093942575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010356",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "800-374-5326",
            "fax_number": "800-374-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKLEY",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "139538",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "556904",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1499722072",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "707588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CQ2302",
            "identifier": "P00795821",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200623270A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANEY",
            "last_name": "CRANE",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.