Individual provider Active NPI

Stephen Bybee, CRNA

  • Certified Registered Nurse Anesthetist
  • Henderson, NV
National Provider Identifier
1104281328
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6619546-4406 Issued in UT
Practice address
129 W Lake Mead Pkwy
Suite B-19
Henderson, NV 89015-6954
Phone
(702) 564-4440
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 6619546-3102 UT
Certified Registered Nurse Anesthetist 367500000X 6619546-4406 UT Primary

Addresses

Primary practice location

129 W Lake Mead Pkwy
Suite B-19
Henderson, NV 89015-6954

Mailing address

685 W 1950 S
Morgan, UT 84050-9881
Phone (801) 829-8121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927001682 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688973886 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians
NPH Anesthesia of Utah LLCGroup PAC ID 9537584313, 91 clinicians
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

1916 N 700
Suite 250
Layton, UT 84041-5723
Phone (801) 479-0312

5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443

6028 S Ridgeline Dr
Suite 201
Ogden, UT 84405-6908
Phone (801) 773-4840

Hospital & facility affiliations

  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6619546-3102UTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic Current Accepting new patients
Tanner Memorial Clinic CurrentSince Nov 1, 2025 Accepting new patients
NPH Anesthesia of Utah, LLC CurrentSince May 1, 2021 Accepting new patients
Mt Ogden Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Tanner Memorial Clinic CurrentSince Nov 1, 2025 Accepting new patients

Locations

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

6028 S Ridgeline Dr
Ogden, UT 84405
Phone (385) 432-5838

4364 Washington Blvd
South Ogden, UT 84403
Phone (801) 224-6767

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

6028 S Ridgeline Dr
Ste 201
South Ogden, UT 84405
Phone (801) 475-5400

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 6

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1104281328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W 1950 S",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509881",
            "telephone_number": "801-829-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "SUITE B-19",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYBEE",
        "first_name": "STEPHEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2022-11-17",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6619546-3102",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "6619546-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.