Individual provider Active NPI

Kevin Albert Stahl, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1154931657
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28108 Issued in TN
Practice address
5959 Park Ave
Memphis, TN 38119-5200
Phone
(901) 765-1000
NPI assigned
Aug 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 28108 TN Primary

Addresses

Primary practice location

5959 Park Ave
Memphis, TN 38119-5200

Mailing address

1068 Cresthaven Rd Ste 150
Memphis, TN 38119-3859
Phone (901) 682-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201113000626 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204246630 Reassigns benefits to 1 organization
I20240206001897 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204246630 Reassigns benefits to 5 organizations
I20250225001779 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204246630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

Practice addresses (Care Compare)

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28108TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Dec 26, 2023 Accepting new patients
White River Health System, Inc. Current Accepting new patients
White River Health Anesthesia Service Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Mississippi County Hospital System Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2024 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2024 Accepting new patients
White River Health System, Inc. CurrentSince Dec 26, 2023 Accepting new patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
White River Health System, Inc. Current Accepting new patients
Mississippi County Hospital System CurrentSince Aug 30, 2024 Accepting new patients
White River Health System, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2024 Accepting new patients
East Memphis Anesthesia Services, PLLC Past Accepting new patients

Locations

1710 Harrison St
#48
Batesville, AR 72501

1710 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 262-3280

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

1001 W Williams St
Ste 103
Apex, NC 27502
Phone (919) 363-2111

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Organizations & group practices 12

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": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1154931657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193859",
            "telephone_number": "901-682-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195200",
            "telephone_number": "901-765-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "KEVIN",
        "middle_name": "ALBERT",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "28108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.