Active NPI
Stephen Glenn Rafferty, CRNA
- Certified Registered Nurse Anesthetist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3005062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200897630A | Medicaid | IN | |
| 7100039070 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN, TX, IA
Enrollment records 4
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
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
- Memorial Hospital and Health Care Center
- Wayne County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.3 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3005062 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Anesthesia Services, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wayne County Hospital | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Current | Accepting new patients | |
| T J Samson Community Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wayne County Hospital | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Ivory Coast Anesthesia Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Anesthesia of the Bluegrass, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allied Physicians Surgery Center, LLC | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | 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.
-
- Family Medicine Physician
- Danville, KY
- NPI 1487708533
-
- Anesthesiology Physician
- Jasper, IN
- NPI 1083484000
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
-
- Anesthesiology Physician
- Frankfort, KY
- NPI 1548355100
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cynthiana, KY
- NPI 1477570216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Anesthesiology Physician
- South Bend, IN
- NPI 1669032942
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
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.