Active NPI
Stacey V Pepper, CRNA
- Certified Registered Nurse Anesthetist
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-108573
- Practice address
- 1201 7TH St SE
Decatur, AL 35601-3337 - Phone
- (256) 341-2000
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-108573 | AL | Primary |
Addresses
Primary practice location
1201 7TH St SE
Decatur, AL 35601-3337
Mailing address
425 Cloverleaf Dr
Athens, AL 35611-4423
Phone (256) 232-7341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens and Limestone County Healthcare Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Services of Decatur PC | Current | Accepting new patients |
Locations
700 W Market St
Athens, AL 35611
Phone (256) 233-9292
22454 US Highway 72
Athens, AL 35613
Phone (256) 233-9292
1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000
1122 14th Ave SE
Decatur, AL 35601
Phone (256) 560-2890
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.
-
- Certified Registered Nurse Anesthetist
- Athens, AL
- NPI 1093951188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Decatur, AL
- NPI 1629034624
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1104114818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CLOVERLEAF DR",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114423",
"telephone_number": "256-232-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 7TH ST SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013337",
"telephone_number": "256-341-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "STACEY",
"middle_name": "V",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-108573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.