Active NPI
Stephanie Lynn Preston, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28140106A
- Practice address
- 811 S 9TH St
Lafayette, IN 47905-5545 - Phone
- (765) 742-4950
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28140106A | IN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 019755 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 209014268 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704239128 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 9485336 | FL |
Addresses
Primary practice location
811 S 9TH St
Lafayette, IN 47905-5545
Mailing address
811 S 9TH St
Lafayette, IN 47905-5545
Phone (765) 742-4950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200822890 | Medicaid | IN | |
| 000000479193 | Other | IN | ANTHEM PROVIDER NUMBER |
| 9434123 | Other | IN | PHCS PID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, IL, FL, OH
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7604
Hospital & facility affiliations
- Union Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9485336 | FL | MD | Certified Registered Nurse Anesthetist |
| 209014268 | IL | MD | Certified Registered Nurse Anesthetist |
| 28140106A | IN | MD | Certified Registered Nurse Anesthetist |
| 019755 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Anesthesiology of Marquette, P.C. | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Deaconess Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
Dept 5777
Carol Stream, IL 60122
25 E Washington St
Ste 300
Chicago, IL 60602
Phone (312) 726-3329
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
251 E Huron St
Ste 5
Chicago, IL 60611
Phone (312) 926-2280
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600
2111 Midlands Ct
Ste 100
Sycamore, IL 60178
Phone (815) 758-0000
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Networks
- Freedom Health HMO Network
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.
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
-
- Anesthesiology Physician
- Marquette, MI
- NPI 1225039639
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543017600000",
"number": "1427014331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 S 9TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055545",
"telephone_number": "765-742-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S 9TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055545",
"telephone_number": "765-742-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2018-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28140106A",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "019755",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209014268",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704239128",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9485336",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200822890",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000479193",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9434123",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; 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.