Keith Marshall Stevens III

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

103437 Issued in WV

Practice address

20 Candy LN
Belle, WV 25015-1100

Phone

(304) 545-8662

NPI assigned

Apr 7, 2022

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians

West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308
• Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Medicare reassignment Care Compare group NPD
• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Medicare reassignment NPD
• Braxton County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gassaway, WV
  • NPI 1861580334
  NPD

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

• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Care Compare affiliation

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1295476687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CANDY LN",
            "city": "BELLE",
            "state": "WV",
            "postal_code": "250151100",
            "telephone_number": "304-545-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CANDY LN",
            "city": "BELLE",
            "state": "WV",
            "postal_code": "250151100",
            "telephone_number": "304-545-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KEITH",
        "middle_name": "MARSHALL",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "103437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Health Center Lab
• Candice Slate, PHARM.D.
• Clifton Wayne Smith Jr.
• Nichole Marie Spinks
• Loretta Spradling
• Emily Stover, MSW LICSW
• Heloise Swanepoel
• Megan Sims Sweeney, CRNA
• Angela Rose Vance
• Walgreen Co (Walgreens # 17781)

• Certified Registered Nurse Anesthetist in Belle, WV
• Providers in Belle, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.