Active NPI
Kevin Albert Stahl, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28108 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health Anesthesia Service Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mississippi County Hospital System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| White River Health System, Inc. | Current | Accepting new patients | |
| Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| White River Health System, Inc. | Current | Accepting new patients | |
| Mississippi County Hospital System | Current | Accepting new patients | |
| White River Health System, Inc | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- West Memphis, AR
- NPI 1063907244
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Blytheville, AR
- NPI 1376844878
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Batesville, AR
- NPI 1598562233
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Melbourne, AR
- NPI 1477523348
-
- Hospitalist Physician
- Batesville, AR
- NPI 1831495423
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1578592663
-
- Rural Health Clinic/Center
- Blytheville, AR
- NPI 1124634738
-
- Certified Registered Nurse Anesthetist
- Mountain View, AR
- NPI 1710233010
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Batesville, AR
- NPI 1306496203
-
- Surgery Physician
- Batesville, AR
- NPI 1992125850
-
- Pain Medicine Physician
- Bartlett, TN
- NPI 1851725162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
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.