Active NPI
Cody Seamons, CRNA
- Certified Registered Nurse Anesthetist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 123219
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28247128 | IN | MD | Registered Nurse |
| 123219 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Innovative Anesthesia Pain & Wellness PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Rock Creek Anesthesia Services PLLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | 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. | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | 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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Certified Registered Nurse Anesthetist
- Twin Falls, ID
- NPI 1073344651
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1962385948
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Anesthesiology Physician
- Mishawaka, IN
- NPI 1306722418
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Anesthesiology Physician
- Twin Falls, ID
- NPI 1790284198
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
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.