Individual provider Active NPI

Patrick Stocker, MSN CRNA

  • Certified Registered Nurse Anesthetist
  • Ashtabula, OH
National Provider Identifier
1386802650
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN311893 Issued in OH
Practice address
2420 Lake Road
Ashtabula, OH 44004-0002
Phone
(440) 997-2262
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 311893 OH
Certified Registered Nurse Anesthetist 367500000X RN311893 OH Primary
Certified Registered Nurse Anesthetist 367500000X RN593061 PA
Certified Registered Nurse Anesthetist 367500000X COA10696NA OH

Addresses

Primary practice location

2420 Lake Road
Ashtabula, OH 44004-0002

Mailing address

4343 Brooks Rd
Ashtabula, OH 44004-8692
Phone (440) 813-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080912000108 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163598335 Reassigns benefits to 1 organization
I20090911000549 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163598335 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
311893OHMDRegistered Nurse
COA10696NAOHMDCertified Registered Nurse Anesthetist
RN311893OHMDCertified Registered Nurse Anesthetist
RN593061PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince May 6, 2025 Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2019 Accepting new patients
University Primary Care Practices Inc CurrentSince May 6, 2025 Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Jul 7, 2023 Accepting new patients
Ambulatory Anesthesia Services, LLC CurrentSince Apr 1, 2020 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2019 Accepting new patients
University Primary Care Practices Inc CurrentSince May 6, 2025 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

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

6025 Commerce Cir
Ste 2
Willoughby, OH 44094
Phone (440) 585-2750

949 N Hermitage Rd
Hermitage, PA 16148
Phone (330) 399-7215

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.

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1386802650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 BROOKS RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440048692",
            "telephone_number": "440-813-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LAKE ROAD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440040002",
            "telephone_number": "440-997-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "PATRICK",
        "credential": "MSN CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "311893",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN311893",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN593061",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA10696NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.