Active NPI
Alexandra Stillwell, CRNA
- Certified Registered Nurse Anesthetist
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132361
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3876 - Phone
- (516) 562-0100
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- 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 | 26NR16421800 | NJ | |
| Registered Nurse | 163W00000X | 733131 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 132361 | NJ | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3876
Mailing address
300 Herb Hill Rd # P47I
Glen Cove, NY 11542-4414
Phone (609) 649-3582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rutgers New Jersey Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Hospital & facility affiliations
- NS/Lij HS Huntington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16421800 | NJ | MD | Registered Nurse |
| 733131 | NY | MD | Registered Nurse |
| 132361 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1669043824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HERB HILL RD # P47I",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424414",
"telephone_number": "609-649-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303876",
"telephone_number": "516-562-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLWELL",
"first_name": "ALEXANDRA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR16421800",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "733131",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "132361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.