Active NPI
Debbie A Sebastian, CRNA
- Certified Registered Nurse Anesthetist
- Edgewood, KY
National Provider Identifier
1164415261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 045245
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (513) 523-0022
- Fax
- (513) 523-0022
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | RN223077 | OH | |
| Registered Nurse | 163W00000X | 1108168 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 045245 | KY | Primary |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
PO Box 12749
Covington, KY 41012-0749
Phone (513) 523-0022
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000318542 | Other | OH | ANTHEM BCBS |
| P00098202 | Other | OH | RAILROAD MEDICARE |
| 0224948 | Medicaid | OH | |
| 000000375727 | Other | ANTHEM | |
| 74010364 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108168 | KY | MD | Registered Nurse |
| RN223077 | OH | MD | Specialist |
| 045245 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Lima Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients | |
| Perioperative Medical Consutants Inc | Past | Accepting new patients | |
| Western Ohio Anesthesia Associates | Past | Accepting new patients | |
| Allied Anesthesia Professionals LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Specialist
- Middletown, OH
- NPI 1902107519
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
- Anesthesiology Physician
- Fairfield, OH
- NPI 1124028162
-
- Pain Medicine (Anesthesiology) Physician
- Oxford, OH
- NPI 1083607568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1164415261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12749",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410120749",
"telephone_number": "513-523-0022",
"fax_number": "513-523-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "513-523-0022",
"fax_number": "513-523-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "DEBBIE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "RN223077",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1108168",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "045245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000318542",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00098202",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0224948",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000375727",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74010364",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.