Individual provider Active NPI

Stephen O'Brien, CRNA

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1295843514
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
491540-1 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 448-5440
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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 491540-1 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

4909 Edgeworth Dr
Manlius, NY 13104-2126
Phone (315) 427-0149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000844 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466418082 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffiss Ec, LLCGroup PAC ID 8628249521, 14 clinicians
St Joseph's Physician Health PCGroup PAC ID 9436041431, 125 clinicians

Practice addresses (Care Compare)

105 Dart Cir
Rome, NY 13441-4229
Phone (315) 533-5747

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
491540-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Gastroenterological Associates.PC Current Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince Feb 15, 2024 Accepting new patients
MVHS Inc CurrentSince Apr 15, 2017 Accepting new patients
St. Joseph's Physician Health, P.C. CurrentSince Jul 1, 2025 Accepting new patients
Westmoreland ASC, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2024 Accepting new patients
Griffiss Ec, LLC Nurse Anesthetist, Certified Registered CurrentSince May 24, 2021 Accepting new patients
Camillus Anesthesia PLLC CurrentSince Feb 15, 2024 Accepting new patients
Regional Anesthesia, PLLC Past Accepting new patients

Locations

5700 W Genesee St
Ste 11
Camillus, NY 13031
Phone (315) 701-9378

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

5325 State Route 233
Westmoreland, NY 13490
Phone (315) 798-9788

Organizations & group practices 8

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1295843514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 EDGEWORTH DR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042126",
            "telephone_number": "315-427-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "491540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.