Individual provider Active NPI

Courtney Stagemeyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1245698273
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101358 Issued in NE
Practice address
4801 S 154TH PLZ
Omaha, NE 68137-5164
Phone
(402) 741-0726
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 71050 NE
Certified Registered Nurse Anesthetist 367500000X 209014409 IL
Certified Registered Nurse Anesthetist 367500000X 101358 NE Primary

Addresses

Primary practice location

4801 S 154TH PLZ
Omaha, NE 68137-5164

Mailing address

4801 S 154TH PLZ
Omaha, NE 68137-5164
Phone (402) 741-0726

Other names 1

  • Courtney Cockerill Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413002201 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496048217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists, PCGroup PAC ID 4385630391, 101 clinicians

Practice addresses (Care Compare)

3533 Praireview St
Grand Island Regional Medical Cente
Grand Island, NE 68803
Phone (308) 675-4557

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71050NEMDRegistered Nurse
209014409ILMDCertified Registered Nurse Anesthetist
101358NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2025 Accepting new patients
Associated Anesthesiologists PC CurrentSince Jul 1, 2022 Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients
CHI Health Clinic Specialty, LLC Past Accepting new patients
Creighton University PastSince May 1, 2017 Accepting new patients

Locations

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

Organizations & group practices 6

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 2

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1245698273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S 154TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375164",
            "telephone_number": "402-741-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S 154TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375164",
            "telephone_number": "402-741-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGEMEYER",
        "first_name": "COURTNEY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "71050",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209014409",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COCKERILL",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.