Individual provider Active NPI

Alex Taylor Stanfill, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1609340827
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
31642 Issued in TN
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone
(901) 226-5000
NPI assigned
Jan 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 31642 TN Primary
Certified Registered Nurse Anesthetist 367500000X 120222 AR

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

607 N River Bend Dr
Marion, AR 72364-2676
Phone (901) 734-6344

Other practice location 1

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 785-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190730000626 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042546053 Reassigns benefits to 6 organizations
I20220512000740 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042546053 Reassigns benefits to 2 organizations
I20220512001033 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042546053 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Anesthesia Services LLCGroup PAC ID 9234279183, 52 clinicians

Practice addresses (Care Compare)

499 Azalea Dr
Oxford, MS 38655-7901
Phone (662) 234-7979

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (904) 227-9000

9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Pain Management LLC CurrentSince May 13, 2023 Accepting new patients
Arkansas Health Group CurrentSince Apr 14, 2021 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince May 2, 2022 Accepting new patients
Vascular Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. CurrentSince Jun 19, 2019 Accepting new patients
Western Arkansas Obstetric Anesthesia LLC CurrentSince Jun 19, 2019 Accepting new patients
Arkansas Health Group CurrentSince Apr 14, 2021 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Nov 21, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2022 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

55 Physicians Ln
Southaven, MS 38671
Phone (662) 655-2136

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

5645 Murray Ave
Memphis, TN 38119
Phone (901) 633-1190

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

2636 S Loop W
Ste 560
Houston, TX 77054

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1609340827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N RIVER BEND DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642676",
            "telephone_number": "901-734-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-226-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034100",
            "country_code": "US",
            "telephone_number": "479-785-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFILL",
        "first_name": "ALEX",
        "middle_name": "TAYLOR",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "31642",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "120222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.