Individual provider Active NPI

Stephanie R Rosenthal, CRNA

  • Certified Registered Nurse Anesthetist
  • Casper, WY
National Provider Identifier
1568795904
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
406037 Issued in NY
Practice address
6350 E 2ND St
Casper, WY 82609-4264
Phone
(307) 232-6600
NPI assigned
Sep 17, 2009
Last updated
Feb 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 49284 WY
Certified Registered Nurse Anesthetist 367500000X 406037 NY Primary

Addresses

Primary practice location

6350 E 2ND St
Casper, WY 82609-4264

Mailing address

4029 E 12TH St
Casper, WY 82609-3151
Phone (518) 495-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, WY, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20091112000227 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668510686
I20220225002057 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668510686 Reassigns benefits to 1 organization
I20230207000493 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668510686 Reassigns benefits to 3 organizations
I20230427002762 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668510686 Reassigns benefits to 1 organization

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
Memorial Hospital of Converse CountyGroup PAC ID 2264340843, shared by 5 NPIs, 77 clinicians

Practice addresses (Care Compare)

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122

6350 E 2ND St
Casper, WY 82609-4264
Phone (307) 232-6600

700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406037NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Feb 20, 2023 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Memorial Hospital of Converse County CurrentSince Mar 11, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2022 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Centers for Gastroenterology CurrentSince May 30, 2023 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Feb 20, 2023 Accepting new patients

Locations

3702 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 207-9773

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1568795904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093151",
            "telephone_number": "518-495-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094264",
            "telephone_number": "307-232-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "49284",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "406037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.