Individual provider Active NPI

Reed Stockman, CRNA

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1326071952
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA01006 Issued in NM
Practice address
1004 Parkway Ave
Suite B
Elkhart, IN 46516-9348
Phone
(574) 522-9922
Fax
(574) 522-9926
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28205706A IN
Certified Registered Nurse Anesthetist 367500000X CRNA01006 NM Primary

Addresses

Primary practice location

1004 Parkway Ave
Suite B
Elkhart, IN 46516-9348

Mailing address

2830 E Prestwick Rd
Winona Lake, IN 46590-8910
Phone (620) 805-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IA, NM, KY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130207000361 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739107541 Reassigns benefits to 2 organizations
I20230831000706 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739107541 Reassigns benefits to 3 organizations
I20240221004497 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739107541 Reassigns benefits to 1 organization
I20250130002715 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739107541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Anesthesia Iowa PLLCGroup PAC ID 0749771129, 17 clinicians

Practice addresses (Care Compare)

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 372-6530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28205706AINMDCertified Registered Nurse Anesthetist
CRNA01006NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2025 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Feb 1, 2024 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Mason City Ambulatory Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 29, 2023 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients
Mason City Ambulatory Surgery Center, LLC Past Accepting new patients

Locations

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791

1004 Parkway Ave
Ste B
Elkhart, IN 46516
Phone (219) 309-8149

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398

1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

Organizations & group practices 11

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 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1326071952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 E PRESTWICK RD",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "465908910",
            "telephone_number": "620-805-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PARKWAY AVE",
            "address_2": "SUITE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169348",
            "telephone_number": "574-522-9922",
            "fax_number": "574-522-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "REED",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28205706A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA01006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.