Individual provider Active NPI

Susan E Stebbins, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MA
National Provider Identifier
1104861889
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024188732 Issued in VA
Practice address
908 Allen St
Springfield, MA 01118-2533
Phone
(413) 796-7494
Fax
(413) 796-7498
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 167469 MA
Certified Registered Nurse Anesthetist 367500000X 0024188732 VA Primary

Addresses

Primary practice location

908 Allen St
Springfield, MA 01118-2533

Mailing address

PO Box 983122
Boston, MA 02298-3122
Phone (413) 796-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NM, NH, VA, MO, WV, GA, FL8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20110331000116 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20221230000863 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20231124000140 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20240108000651 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20250719000226 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20250805001408 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20250918004045 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 Reassigns benefits to 1 organization
I20260429004029 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103009006 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
American Anesthesiology of Virginia PCGroup PAC ID 6800790023, 514 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7000

1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

20480 Market St
Onancock, VA 23417-4309
Phone (757) 302-2100

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6000

Hospital & facility affiliations

  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167469MAMDCertified Registered Nurse Anesthetist
0024188732VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Nov 4, 2023 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC CurrentSince May 15, 2025 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Dec 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of West Virginia - South Charleston CurrentSince Apr 19, 2025 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC CurrentSince Oct 14, 2023 Accepting new patients
Springfield Anesthesia Service, Inc. CurrentSince Mar 14, 1997 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Dec 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince Jun 2, 2025 Accepting new patients
Umass Memorial Medical Group Inc PastSince Mar 14, 1997 Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Organizations & group practices 10

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1104861889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983122",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022983122",
            "telephone_number": "413-796-7494",
            "fax_number": "413-796-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ALLEN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182533",
            "telephone_number": "413-796-7494",
            "fax_number": "413-796-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "167469",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024188732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.