Individual provider Active NPI

Stephanie Dines, CRNA

  • Certified Registered Nurse Anesthetist
  • Hobart, IN
National Provider Identifier
1700837085
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28109629A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone
(219) 947-6695
Fax
(219) 947-6092
NPI assigned
May 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 28109629A IN Primary

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Mailing address

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 947-6695

Other identifiers 1

IdentifierTypeStateIssuer
200226400MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000931 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466357975 Reassigns benefits to 3 organizations
I20231218004376 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466357975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (210) 949-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28109629AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Apr 9, 2024 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2024 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2024 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2023 Accepting new patients
Polykarpos Anesthesia LLC Past Accepting new patients

Locations (25 of 37)

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 455-4150

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863

2116 Babcock Rd
San Antonio, TX 78229
Phone (210) 202-0288

403 Treeline Park
Bldg 1
San Antonio, TX 78209
Phone (210) 294-8000

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700837085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6695",
            "fax_number": "219-947-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6695",
            "fax_number": "219-947-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINES",
        "first_name": "STEPHANIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28109629A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200226400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.