Individual provider Active NPI

Steven Jess Mandell, CRNA

  • Certified Registered Nurse Anesthetist
  • Lafayette, LA
National Provider Identifier
1124054192
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN058859 Issued in LA
Practice address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone
(504) 779-5515
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN058859 LA Primary

Addresses

Primary practice location

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140102000228 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072520618 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN058859LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 25, 2021 Accepting new patients
Campbell Anesthesia Group, PLLC CurrentSince Aug 12, 2018 Accepting new patients
Digestive & Liver Center, PA CurrentSince Oct 28, 2020 Accepting new patients
DRS Burleigh, Dupleix and Rees Past Accepting new patients
Parish Anesthesia of Lafayette, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Sheridan Anesthesia Services of Louisana Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Pioneer Anesthesia and Pain Associates, L.L.C. Past Accepting new patients
Parish Anesthesia Endoscopy of Lafayette, LLC Past Accepting new patients

Locations

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

2220 Pease St
#C
Harlingen, TX 78550
Phone (956) 389-6000

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1438 Campbell Rd
Ste 104
Houston, TX 77055
Phone (713) 464-1650

19502 McKay Dr
Ste 101
Humble, TX 77338
Phone (281) 312-6900

109 Parking Way St
Lake Jackson, TX 77566
Phone (979) 292-0033

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1124054192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "504-779-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "STEVEN",
        "middle_name": "JESS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN058859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.