Individual provider Active NPI

Joseph Raphael Stover, CRNA

  • Certified Registered Nurse Anesthetist
  • Kennewick, WA
National Provider Identifier
1720064306
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61059977 Issued in WA
Practice address
3810 Plaza Way
Kennewick, WA 99338-2722
Phone
(509) 221-7000
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 AP61059977 WA Primary

Addresses

Primary practice location

3810 Plaza Way
Kennewick, WA 99338-2722

Mailing address

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

Other practice location 1

204 N 4th Ave E
Newton, IA 50208-3135
Phone (641) 792-1273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120126000570 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082660436 Reassigns benefits to 2 organizations
I20200810001131 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082660436 Reassigns benefits to 3 organizations
I20230420002504 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082660436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

415 6TH St
Lewiston, ID 83501-2431
Phone (828) 398-5244

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

Hospital & facility affiliations

  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61059977WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2021 Accepting new patients
Boise Anesthesia, PA CurrentSince Feb 13, 2012 Accepting new patients
Good Shepherd Health Care System CurrentSince Feb 27, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2021 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2024 Accepting new patients
Boise Anesthesia, P a Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2012 Accepting new patients
Dubuque Anesthesia Services, PC PastSince May 16, 2021 Accepting new patients
Dubuque Anesthesia Services, PC Nurse Anesthetist, Certified Registered PastSince May 25, 2021 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

Interoperability endpoints

  • Direct secure messaging: jstover2766617@wm.providencedirect.org

Organizations & group practices 8

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 2

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1720064306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382722",
            "telephone_number": "509-221-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382722",
            "telephone_number": "509-221-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N 4th Ave E",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IA",
            "postal_code": "502083135",
            "country_code": "US",
            "telephone_number": "641-792-1273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "JOSEPH",
        "middle_name": "RAPHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61059977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.