Active NPI
Ellen Stolyar, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CERT# 084038
- Practice address
- 2600 Greenbush St
Lafayette, IN 47904-2477 - Phone
- (765) 448-8000
- Fax
- (765) 838-5150
- NPI assigned
- May 11, 2009
- Sex
- Female
- 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 | 28185576A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | CERT# 084038 | IN | Primary |
Addresses
Primary practice location
2600 Greenbush St
Lafayette, IN 47904-2477
Mailing address
PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200965640 | Medicaid | IN | |
| 000000636144 | Other | IN | ANTHEM PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555
2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (880) 233-2570
3100 Kemble Ave
Brunswick, GA 31520-4211
Phone (880) 233-2570
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
4700 Waters Ave
(Memorial Health University Medical Center)
Savannah, GA 31404-6220
Phone (912) 350-8000
Hospital & facility affiliations
- Southeast Georgia Health System- Brunswick Campus
- HCA Florida Memorial Hospital
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Southeast Georgia Health System -- Camden Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT# 084038 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consultants PA | Current | Accepting new patients | |
| SE Georgia Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930
3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Vidalia, GA
- NPI 1518542919
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1679774343
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1346240066
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1497989016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035545",
"telephone_number": "765-448-8000",
"fax_number": "765-448-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENBUSH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042477",
"telephone_number": "765-448-8000",
"fax_number": "765-838-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLYAR",
"first_name": "ELLEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28185576A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "CERT# 084038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200965640",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000636144",
"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 Apr 19, 2010; 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.