Individual provider Active NPI

Staci Dawn Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Canton, OH
National Provider Identifier
1386694669
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.08483 Issued in OH
Practice address
2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone
(330) 363-7462
Fax
(330) 363-7679
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 APRN.CRNA.08483 OH Primary

Addresses

Primary practice location

2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710

Mailing address

2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone (330) 363-7462

Other practice location 1

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

Other practice location 2

250 Debartolo Pl Ste 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

Other identifiers 1

IdentifierTypeStateIssuer
2630666MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060607000303 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688686702 Reassigns benefits to 12 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
Ohio Anesthesia Group, IncGroup PAC ID 9537222138, 130 clinicians
The Gastroenterology Clinic and Endoscopy Center IncGroup PAC ID 3274429477, 36 clinicians
Bel-Park Anesthesia Associates, Inc.Group PAC ID 8628974904, 158 clinicians
Wooster Pain and Anesthesia Center LLCGroup PAC ID 1557500782, 10 clinicians
Anesthesia Services Inc.Group PAC ID 3971971060, 3 clinicians

Practice addresses (Care Compare)

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1000

1622 E Market St
Warren, OH 44483-6613
Phone (330) 399-7215

200 E State St
Alliance, OH 44601-4936
Phone (330) 596-7227

3373 Commerce Pkwy
Suite 3
Wooster, OH 44691-7130
Phone (330) 284-9119

4151 Holiday St NW
Canton, OH 44718-2531
Phone (330) 649-4214

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Merit-based Incentive Payment System (MIPS)

Final score
71.97 of 100Reported as group
Quality
53.19
Improvement activities
40
Cost
86.77

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
71.01
Improvement activities
40
Cost
82.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA08483NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Ohio LLC CurrentSince Jul 1, 2015 Accepting new patients
Anesthesia & Intensive Care Consultants,Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince Jan 6, 2020 Accepting new patients
Wooster Pain and Anesthesia Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Aug 1, 2024 Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Oct 4, 2023 Accepting new patients
Anesthesia Services Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2015 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Barrett Pain Associates, Inc PastSince Sep 1, 2007 Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients
Comprehensive Care Anesthesia Services Inc Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

2600 6th St SW
Ste A2800
Canton, OH 44710

4151 Holiday St NW
Canton, OH 44718
Phone (330) 492-8001

4665 Belpar St NW
Canton, OH 44718
Phone (216) 489-1485

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

5000 Higbee Ave NW
Canton, OH 44718
Phone (330) 493-0313

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

420 S Reeves Ave
Ste B
Dover, OH 44622
Phone (330) 364-4461

320 Oxford St
Dover, OH 44622
Phone (330) 365-2101

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

7000 Whipple Ave NW
North Canton, OH 44720
Phone (330) 498-9898

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119

3373 Commerce Pkwy
Ste 1
Wooster, OH 44691
Phone (330) 804-2000

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: staci.martin.p1@direct.gastroandhepatology.nextgenshare.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1386694669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET SW",
            "address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-363-7462",
            "fax_number": "330-363-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET SW",
            "address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-363-7462",
            "fax_number": "330-363-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445125633",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Debartolo Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126090",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACI",
        "middle_name": "DAWN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.08483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2630666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.