Individual provider Active NPI

Stacy Rae Sauerland, CRNA

  • Certified Registered Nurse Anesthetist
  • Port Saint Lucie, FL
National Provider Identifier
1689905101
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9478017 Issued in FL
Practice address
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone
(772) 287-5200
NPI assigned
Jan 22, 2010
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 COA11295 OH
Certified Registered Nurse Anesthetist 367500000X APRN9478017 FL Primary

Addresses

Primary practice location

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111

Mailing address

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-4380

Other practice location 1

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100329000489 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759417884 Reassigns benefits to 3 organizations
I20201203002167 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759417884 Reassigns benefits to 3 organizations

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
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians

Practice addresses (Care Compare)

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA11295OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 20, 2021 Accepting new patients
Ogi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Port St Lucie Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 20, 2021 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 27, 2020 Accepting new patients
Anesthesiology Services Network LTD CurrentSince Feb 8, 2010 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1715 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 335-3939

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

3484 Far Hills Ave
Kettering, OH 45429
Phone (937) 208-4380

4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

Organizations & group practices 7

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 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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1689905101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-4380",
            "fax_number": "937-208-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW INNOVATION WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872111",
            "telephone_number": "772-287-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-4380",
            "fax_number": "937-208-3843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUERLAND",
        "first_name": "STACY",
        "middle_name": "RAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA11295",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9478017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.