Active NPI
Dale Stogner, CRNA
- Certified Registered Nurse Anesthetist
- Lincoln City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201603006CRNA
- Practice address
- 3043 NE 28TH St
Lincoln City, OR 97367-4518 - Phone
- (541) 994-3661
- NPI assigned
- Jan 28, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201603005RN | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | AP07173 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201603006CRNA | OR | Primary |
Addresses
Primary practice location
3043 NE 28TH St
Lincoln City, OR 97367-4518
Mailing address
PO Box 1194
Corvallis, OR 97339-1194
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dstogner128461@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
256 Fort Sanders W Blvd
Unit 8
Knoxville, TN 37922-3355
Phone (865) 558-4400
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201603005RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients |
Locations
3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
6400 SE Lake Rd
Ste 130
Portland, OR 97222
Phone (503) 594-1774
4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771
1600 Accelerator Way
Ste 100
Knoxville, TN 37920
Phone (865) 264-3404
256 Fort Sanders West Blvd
Unit 8
Knoxville, TN 37922
256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580
550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1689816365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1568700482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1194",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 NE 28TH ST",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973674518",
"telephone_number": "541-994-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOGNER",
"first_name": "DALE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201603005RN",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP07173",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201603006CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dstogner128461@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3043 NE 28th St",
"city": "Lincoln City",
"state": "OR",
"country_code": "US",
"postal_code": "973674518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.