Individual provider Active NPI

Stefanie L. Ott, CRNA

  • Certified Registered Nurse Anesthetist
  • Bethlehem, PA
National Provider Identifier
1750355798
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
073904 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(610) 954-5810
Fax
(610) 954-5480
NPI assigned
Feb 15, 2006
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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 073904 PA Primary
Registered Nurse 163W00000X RN-538722 PA

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

PO Box 5520
Bethlehem, PA 18015-0520
Phone (610) 954-5810

Other identifiers 9

IdentifierTypeStateIssuer
1789399OtherPAHIGHMARK BLUE SHIELD
11754805OtherPACAQH
2626490000OtherPAIBC
1789399OtherPAFIRST PRIORITY
97452OtherPAGEISINGER
1023332060003MedicaidPA
50055232OtherPACAPITAL ADVANTAGE
9426441OtherPAAETNA
1550240OtherPAGATEWAY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000215 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587679808 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Endoscopy Center, LLCGroup PAC ID 4587994595, 14 clinicians
Nazareth Endoscopy Center, LLCGroup PAC ID 6002245776, 11 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1501 N Cedar Crest Blvd
Suite 100
Allentown, PA 18104-2309
Phone (610) 289-2172

2401 Northampton St
Suite 220
Easton, PA 18045-2764
Phone (610) 756-9900

3147 College Heights Blvd
Allentown, PA 18104-4813
Phone (610) 841-2432

330 Main St
Dickson City, PA 18519-1691
Phone (610) 402-6164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-538722PAMDRegistered Nurse
073904PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 10, 2024 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jun 23, 2020 Accepting new patients
Anthracite Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Bethlehem Endoscopy Center LLC CurrentSince Sep 1, 2009 Accepting new patients
Nazareth Endoscopy Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
College Heights Endoscopy Center, LLC CurrentSince Jun 15, 2009 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 10, 2024 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 23, 2020 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Nurse Anesthetist, Certified Registered CurrentSince Oct 17, 2005 Accepting new patients
College Heights Endoscopy Center LLC CurrentSince Jun 15, 2009 Accepting new patients
Associates in Anesthesia, Inc. CurrentSince May 1, 2018 Accepting new patients
Eastern Pennsylvania Endoscopy Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2021 Accepting new patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Associates in Anesthesia Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1245 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9080

1501 N Cedar Crest Blvd
Ste 100
Allentown, PA 18104
Phone (610) 289-2172

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3147 College Heights Blvd
Allentown, PA 18104
Phone (610) 841-2432

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

5325 Northgate Dr
Ste 101
Bethlehem, PA 18017
Phone (610) 866-5008

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

20 Community Dr
Easton, PA 18045
Phone (610) 258-1844

21 Corporate Dr
Ste 3
Easton, PA 18045
Phone (610) 258-1855

2401 Northampton St
Ste 220
Easton, PA 18045
Phone (610) 756-9900

41 Corporate Dr
Ste 101
Easton, PA 18045
Phone (610) 258-6635

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

61 Industrial Dr
Hamburg, PA 19526
Phone (570) 617-7024

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 17

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.

View all 17

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1750355798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5520",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150520",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "STEFANIE",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "073904",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN-538722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1789399",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11754805",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2626490000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "1789399",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "97452",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023332060003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "50055232",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9426441",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1550240",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.