Active NPI
Ryan Edward Stupca, CRNA
- Certified Registered Nurse Anesthetist
- Bismarck, ND
National Provider Identifier
1225628100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R41447
- Practice address
- 900 E Broadway Ave
Bismarck, ND 58501-4520 - Phone
- (701) 530-7000
- NPI assigned
- Jan 24, 2021
- 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 | R41447 | ND | Primary |
Addresses
Primary practice location
900 E Broadway Ave
Bismarck, ND 58501-4520
Mailing address
2907 43Rd Ave NE Apt 208
Bismarck, ND 58503-8097
Phone (218) 341-0381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210204003079 | ND | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719391614 | 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
Practice addresses (Care Compare)
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
- CHI St Alexius Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
Organizations & group practices 2
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.
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
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": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1225628100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 43RD AVE NE APT 208",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585038097",
"telephone_number": "218-341-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014520",
"telephone_number": "701-530-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUPCA",
"first_name": "RYAN",
"middle_name": "EDWARD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R41447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.