Individual provider Active NPI

Stephanie Lynn Preston, CRNA

  • Certified Registered Nurse Anesthetist
  • Lafayette, IN
National Provider Identifier
1427014331
Registry record updated Nov 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28140106A Issued in IN
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

Updated by the provider on Nov 24, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200822890MedicaidIN
000000479193OtherINANTHEM PROVIDER NUMBER
9434123OtherINPHCS PID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, IL, FL, OH5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20061103000419 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092712042 Reassigns benefits to 5 organizations
I20080225000656 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092712042 Reassigns benefits to 1 organization
I20171122000212 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092712042 Reassigns benefits to 4 organizations
I20190117002306 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092712042 Reassigns benefits to 1 organization
I20220707003758 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092712042 Reassigns benefits to 1 organization

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
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7604

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9485336FLMDCertified Registered Nurse Anesthetist
209014268ILMDCertified Registered Nurse Anesthetist
28140106AINMDCertified Registered Nurse Anesthetist
019755OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2014 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 15, 2019 Accepting new patients
Deaconess Hospital Inc CurrentSince Jul 19, 2023 Accepting new patients
Anesthesiology of Marquette, P.C. CurrentSince Jan 6, 2020 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 15, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Jun 22, 2022 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2024 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2015 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 22, 2019 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Oct 1, 2018 Accepting new patients
Stat Anesthesia Specialists LTD CurrentSince Mar 17, 2014 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Promedica Central Physicians CurrentSince Jun 22, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 22, 2019 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.

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": "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.

Verify at the official NPI Registry.