Active NPI
Fletcher M Stevenson, CRNA
- Certified Registered Nurse Anesthetist
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 69677
- Practice address
- 2900 1St Ave
St Marys Hosptal Room 6019
Huntington, WV 25702-1241 - Phone
- (304) 399-0137
- Fax
- (304) 399-0138
- NPI assigned
- Feb 28, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN10713 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN143453 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN170816 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 69677 | WV | Primary |
Addresses
Primary practice location
2900 1St Ave
St Marys Hosptal Room 6019
Huntington, WV 25702-1241
Mailing address
2900 1St Ave
St Marys Hosptal Room 6019
Huntington, WV 25702-1241
Phone (304) 399-0137
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270052997003 | Other | WV | TRICARE GROUP |
| 2802800 | Medicaid | OH | |
| 1071314 | Other | WV | BRICKSTREET |
| 3810008135 | Medicaid | WV | |
| 4078445 | Other | TN | BCBS |
| 0207026000 | Medicaid | WV | |
| 001706470 | Other | WV | MSBCBS GROUP |
| 2460484 | Medicaid | OH | |
| 001945814 | Other | WV | MSBCBS |
| 27005299700 | Other | WV | BRICKSTREET GROUP |
| 3630211 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH, IN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1101 Michigan Ave
Loganport, IN 46947-1528
Phone (850) 497-6702
1260 E State Rd
Suite 205
Columbia City, IN 46725-9492
Phone (260) 248-9301
Hospital & facility affiliations
- Memorial Hospital
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 |
|---|---|---|---|
| RN170816 | GA | MD | Certified Registered Nurse Anesthetist |
| APN10713 | TN | MD | Certified Registered Nurse Anesthetist |
| RN143453 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Sheridan Healthcare of West Virginia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mid-Atlantic Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Cardiac Anesthesia Plus, Inc. | Past | Accepting new patients |
Locations
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
Organizations & group practices 10
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
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
-
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1336247949
-
- Anesthesiology Physician
- Hurricane, WV
- NPI 1144248907
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Logan, WV
- NPI 1861567851
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1548236409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 1ST AVE",
"address_2": "ST MARYS HOSPTAL ROOM 6019",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021241",
"telephone_number": "304-399-0137",
"fax_number": "304-399-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 1ST AVE",
"address_2": "ST MARYS HOSPTAL ROOM 6019",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021241",
"telephone_number": "304-399-0137",
"fax_number": "304-399-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "FLETCHER",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN10713",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN143453",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN170816",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "69677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE GROUP",
"identifier": "270052997003",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2802800",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1071314",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008135",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4078445",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207026000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS GROUP",
"identifier": "001706470",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2460484",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "001945814",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET GROUP",
"identifier": "27005299700",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3630211",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.