Active NPI
Edwin R Stutzman, CRNA
- Certified Registered Nurse Anesthetist
- Corydon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1094586
- Practice address
- 1141 Hospital Dr NW
Corydon, IN 47112-2164 - Phone
- (812) 738-4251
- NPI assigned
- Aug 27, 2007
- Last updated
- Jan 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1094586 | KY | Primary |
Addresses
Primary practice location
1141 Hospital Dr NW
Corydon, IN 47112-2164
Mailing address
PO Box 38
Corydon, IN 47112-0038
Phone (812) 738-4251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017790 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edwin.stutzman@hcin.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-7865
1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094586 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Harrison County Hospital | Current | Accepting new patients | |
| Harrison County Hospital | Current | Accepting new patients | |
| Central Kentucky Anesthesia PSC | Past | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
Interoperability endpoints
- edwin.stutzman@hcin.cernerdirect.com
Organizations & group practices 6
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.
-
dba Harrison County Hospital Physicians
- Internal Medicine Physician
- Corydon, IN
- NPI 1790892727
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1518083161
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- Corydon, IN
- NPI 1427165455
-
- Critical Access Hospital
- Corydon, IN
- NPI 1851378137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1336332923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "CORYDON",
"state": "IN",
"postal_code": "471120038",
"telephone_number": "812-738-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 HOSPITAL DR NW",
"city": "CORYDON",
"state": "IN",
"postal_code": "471122164",
"telephone_number": "812-738-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZMAN",
"first_name": "EDWIN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1094586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100017790",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edwin.stutzman@hcin.cernerdirect.com",
"affiliation": "N",
"address_1": "1141 Hospital Dr NW",
"city": "Corydon",
"state": "IN",
"country_code": "US",
"postal_code": "471122164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.