Individual provider Active NPI

Stephen Glenn Rafferty, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1447359286
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005062 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-7001
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3005062 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-7001

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Other practice location 1

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

Other identifiers 2

IdentifierTypeStateIssuer
200897630AMedicaidIN
7100039070MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, TX, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070604000022 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688772445 Reassigns benefits to 9 organizations
I20211213001769 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688772445 Reassigns benefits to 3 organizations
I20240507000780 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688772445 Reassigns benefits to 1 organization
I20260128000651 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688772445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ephraim McDowell Health Resource IncGroup PAC ID 7517876956, 161 clinicians
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians
Ivory Coast Anesthesia Management LLCGroup PAC ID 4880039676, 29 clinicians

Practice addresses (Care Compare)

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222

216 W Walnut St
Danville, KY 40422-1832

417 S E St
Corydon, IA 50060-1860

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

800 W 9TH St
Memorial Hospital and Health Care
Jasper, IN 47546-2514
Phone (812) 996-2345

Hospital & facility affiliations

  • Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Wayne County Hospital Hospital, Corydon, IA, CCN 161358

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005062KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Anesthesia Services, PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Wayne County Hospital CurrentSince Dec 22, 2025 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2021 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 4, 2021 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Nov 5, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
T J Samson Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2023 Accepting new patients
Wayne County Hospital CurrentSince Dec 22, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 22, 2024 Accepting new patients
Ivory Coast Anesthesia Management LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2025 Accepting new patients
Community Anesthesia of the Bluegrass, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
Allied Physicians Surgery Center, LLC CurrentSince Oct 21, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 22, 2024 Accepting new patients

Locations (25 of 29)

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

7752 Solution Ctr
Chicago, IL 60677

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

53990 Carmichael Dr
South Bend, IN 46635
Phone (574) 243-9700

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

216 W Walnut St
Danville, KY 40422
Phone (859) 236-2314

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

217 E Chestnut St
Louisville, KY 40202
Phone (502) 447-5500

Organizations & group practices 21

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 21

Hospital & facility affiliations 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1447359286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-562-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "STEPHEN",
        "middle_name": "GLENN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200897630A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100039070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.