Individual provider Active NPI

Stacey Ann West, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Walton Beach, FL
National Provider Identifier
1275641250
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2986022 Issued in FL
Practice address
1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639
Phone
(850) 863-2153
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2986022 FL Primary

Addresses

Primary practice location

1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639

Mailing address

133 Lake Front Dr
Miramar Beach, FL 32550-8248
Phone (850) 687-0871

Other identifiers 1

IdentifierTypeStateIssuer
307111100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000004 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032141833 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1034 Mar Walt Dr
Suite 300
Fort Walton Beach, FL 32547-6645
Phone (850) 315-9385

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Jul 1, 2015 Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2023 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Jul 1, 2015 Accepting new patients
The Anesthesia Group, P.a. Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887

1034 Mar Walt Dr
Unit 300
Ft Walton Bch, FL 32547
Phone (850) 315-9363

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Interoperability endpoints

  • Direct secure messaging: stacey.west.1@15074.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1275641250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LAKE FRONT DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508248",
            "telephone_number": "850-687-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-863-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2986022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307111100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.