Individual provider Active NPI

Stephanie Ann Suppa, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1639339690
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN536860 Issued in PA
Practice address
9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone
(412) 367-5589
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN536860 PA Primary

Addresses

Primary practice location

9100 Babcock Blvd
Pittsburgh, PA 15237-5815

Mailing address

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-5589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000179 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698849610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KBS Anesthesia, Inc.Group PAC ID 1254719321, 56 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

79 Wagner Rd
Monaca, PA 15061-2337
Phone (724) 624-9901

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KBS Anesthesia, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2013 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1639339690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BABCOCK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375815",
            "telephone_number": "412-367-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BABCOCK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375815",
            "telephone_number": "412-367-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN536860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.