Individual provider Active NPI

Stephanie Faye Patrick, R.N., C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Mason, OH
National Provider Identifier
1124078928
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA-08698 Issued in OH
Practice address
4549 Raynor Court
Outpatient Anesthesia Specialists
Mason, OH 45040
Phone
(513) 204-5696
Fax
(877) 284-4283
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 RN-286110 OH
Certified Registered Nurse Anesthetist 367500000X NA-08698 OH Primary

Addresses

Primary practice location

4549 Raynor Court
Outpatient Anesthesia Specialists
Mason, OH 45040

Mailing address

PO Box 807
Outpatient Anesthesia Specialists
Mason, OH 45040-0807
Phone (513) 204-5696

Other identifiers 3

IdentifierTypeStateIssuer
2963280MedicaidOH
000000532763OtherKYANTHEM BCBS
7100014120MedicaidKY

Other names 1

  • Stephanie Faye Sawyers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090225000115 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769578863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-5000

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-286110OHMDRegistered Nurse
NA-08698OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
West Chester Surgical Suites, LLC Past Accepting new patients

Locations

20 Medical Village Dr
Ste 258
Edgewood, KY 41017
Phone (606) 341-2666

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

4355 Ferguson Dr
Ste 190
Cincinnati, OH 45245
Phone (360) 903-1036

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Organizations & group practices 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1124078928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "address_2": "OUTPATIENT ANESTHESIA SPECIALISTS",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450400807",
            "telephone_number": "513-204-5696",
            "fax_number": "877-284-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 RAYNOR COURT",
            "address_2": "OUTPATIENT ANESTHESIA SPECIALISTS",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-204-5696",
            "fax_number": "877-284-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "STEPHANIE",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "R.N., C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-286110",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "NA-08698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963280",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000532763",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100014120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SAWYERS",
            "middle_name": "FAYE",
            "credential": "R.N., C.R.N.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.