Individual provider Active NPI

Cody Seamons, CRNA

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1437627247
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
123219 Issued in IN
Practice address
600 East Blvd
Elkhart, IN 46514-2483
Phone
(574) 294-2621
NPI assigned
Nov 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28247128 IN
Certified Registered Nurse Anesthetist 367500000X 123219 IN Primary

Addresses

Primary practice location

600 East Blvd
Elkhart, IN 46514-2483

Mailing address

19620 Gentle Stream Cir
Goshen, IN 46528-6283
Phone (208) 681-9477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ID, WA, MI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181214001412 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951646298 Reassigns benefits to 6 organizations
I20210728003960 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951646298 Reassigns benefits to 4 organizations
I20220429001933 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951646298 Reassigns benefits to 1 organization
I20220512000418 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951646298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lakes AnesthesiaGroup PAC ID 1951841303, 8 clinicians
North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians
Innovative Anesthesia Pain and Wellness PLLCGroup PAC ID 7214336882, 11 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

2092 Dawson Dr
Twin Falls, ID 83301-3195
Phone (208) 734-3356

267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433

3090 E Gentry Way
Suite 100
Meridian, ID 83642-3548
Phone 208525209018

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

6913 N Main St
Granger, IN 46530-8039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28247128INMDRegistered Nurse
123219INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc Current Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Blue Lakes Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2022 Accepting new patients
Innovative Anesthesia Pain & Wellness PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2022 Accepting new patients
Beacon Medical Group Inc CurrentSince Nov 20, 2023 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2022 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
Rock Creek Anesthesia Services PLLC CurrentSince Dec 6, 2023 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
North Canyon Medical Center Inc. CurrentSince Aug 1, 2021 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Mar 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Aug 30, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

3090 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 288-1600

115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784

1502 Locust St N
Ste 100
Twin Falls, ID 83301
Phone (208) 529-6600

1502 Locust St N
Twin Falls, ID 83301

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

900 I St
Laporte, IN 46350
Phone (219) 324-1670

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

Organizations & group practices 19

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 19

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1437627247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 GENTLE STREAM CIR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465286283",
            "telephone_number": "208-681-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-294-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMONS",
        "first_name": "CODY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28247128",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "123219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.