Stephanie Marie Dulian, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

202001122CRNA Issued in OR

Practice address

1775 Thompson Rd
Coos Bay, OR 97420-2125

Phone

(541) 269-8111

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Stephanie Fallon Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springfield Or Anesthesia Associates LLCGroup PAC ID 4486917390, 6 clinicians

North Bend Medical Center IncGroup PAC ID 5597677716, 92 clinicians

Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• North Bend Medical Center Inc

  dba NBMC-Main

  • Multi-Specialty Clinic/Center
  • Coos Bay, OR
  • NPI 1407812365
  Medicare reassignment Care Compare group NPD
• Springfield Or Anesthesia Associates LLC

  dba Springfield Or Anesthesia

  • Certified Registered Nurse Anesthetist
  • Springfield, OR
  • NPI 1487158390

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Curry Health District

  dba Curry General Hospital

  • Critical Access Hospital
  • Gold Beach, OR
  • NPI 1487696985
  Medicare reassignment NPD
• Emerald Valley Anesthesia

  • Certified Registered Nurse Anesthetist
  • Springfield, OR
  • NPI 1679355820

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• South Coast Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Coos Bay, OR
  • NPI 1205889110
  Medicare reassignment NPD
• Sweet Dreams Anesthesia

  • Anesthesiology Physician
  • North Bend, OR
  • NPI 1518654425
  Medicare reassignment NPD
• Bay Area Hospital District

  • Home Health Agency
  • North Bend, OR
  • NPI 1215018197
  NPD
• Curry Health District

  dba Curry Medical North

  • Rural Health Clinic/Center
  • Gold Beach, OR
  • NPI 1770303968
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1255502423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202125",
            "telephone_number": "541-269-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202125",
            "telephone_number": "541-269-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 Harlem Road",
            "address_purpose": "LOCATION",
            "city": "Loves Park",
            "state": "IL",
            "postal_code": "611112754",
            "country_code": "US",
            "telephone_number": "815-877-4848",
            "fax_number": "815-654-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULIAN",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2024-05-09",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041330442",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-007324",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007324",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "202001122CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FALLON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Mike & Friends Pediatrics PC
• Dr. Mike and Friends Pediatrics,P.C.
• Ginger M Drake
• Patricia K Dudas, CFNP
• Audrey M Duke, FNP
• Early Intervention Early Childhood Special Education
• Benjamin Todd Eastham, M.D.
• Edgar Maeyens Jr MD PC (Park Avenue Dermatology Clinic)
• Ariel Edwards
• Cynthia Helen Edwards

• Certified Registered Nurse Anesthetist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.