Individual provider Active NPI

Vickie Leann Stuart, CRNA

  • Certified Registered Nurse Anesthetist
  • Hattiesburg, MS
National Provider Identifier
1548374341
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11042552 Issued in FL
Practice address
18 Robbie LN
Hattiesburg, MS 39402-8429
Phone
(504) 982-1812
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 767896 TX
Certified Registered Nurse Anesthetist 367500000X NA95000963 CA
Certified Registered Nurse Anesthetist 367500000X 848474 MS
Certified Registered Nurse Anesthetist 367500000X APRN11042552 FL Primary

Addresses

Primary practice location

18 Robbie LN
Hattiesburg, MS 39402-8429

Mailing address

18 Robbie LN
Hattiesburg, MS 39402-8429
Phone (504) 982-1812

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other identifiers 3

IdentifierTypeStateIssuer
P00004207OtherMSRAILROAD MEDICARE
640507572UQOtherMSAMERICAN ADMIN GROUP
00119524MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, AL, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170810001538 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698856912 Reassigns benefits to 1 organization
I20190221001702 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698856912 Reassigns benefits to 1 organization
I20220411001864 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698856912 Reassigns benefits to 2 organizations
I20251021004504 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698856912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Hattiesburg Clinic PAGroup PAC ID 5193706794, shared by 27 NPIs, 525 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NA95000963CAMDCertified Registered Nurse Anesthetist
APRN11042552FLMDCertified Registered Nurse Anesthetist
R848474MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheldon Jordan, M.D., Inc. CurrentSince Dec 17, 2018 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Sep 25, 2025 Accepting new patients
Blue Lake Health Springhill, LLC CurrentSince Apr 15, 2022 Accepting new patients
Anesthesiologists Associated PC CurrentSince Feb 26, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 14, 2025 Accepting new patients
Sheridan Healthcorp, Inc CurrentSince Sep 25, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 14, 2025 Accepting new patients
Foothill Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2018 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2022 Accepting new patients
Bentz Physical Therapy, PC PastSince Oct 29, 2006 Accepting new patients
Meridian Hma LLC Past Accepting new patients
McLemore Emergency Physicians PastSince Dec 18, 2007 Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

400 Newport Center Dr
Ste 102
Newport Beach, CA 92660
Phone (949) 423-2170

301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347

2811 Wilshire Blvd
Ste 690
Santa Monica, CA 90403
Phone (310) 828-7239

15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

408 N Main St
Fl 2
Pueblo, CO 81003
Phone (719) 584-4000

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 13

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 13

Hospital & facility affiliations 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1548374341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROBBIE LN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028429",
            "telephone_number": "504-982-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROBBIE LN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028429",
            "telephone_number": "504-982-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-261-3606",
            "fax_number": "601-579-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "VICKIE",
        "middle_name": "LEANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "767896",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95000963",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "848474",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11042552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004207",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572UQ",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.