Individual provider Active NPI

Stephen R Spires, CRNA

  • Certified Registered Nurse Anesthetist
  • Leesville, LA
National Provider Identifier
1861444101
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN099590-AP04371 Issued in LA
Practice address
815 S 10TH St
Elite Anes. - Credentialing
Leesville, LA 71446-4611
Phone
(337) 392-5088
Fax
(337) 392-4982
NPI assigned
May 16, 2006
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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 RN099590-AP04371 LA Primary

Addresses

Primary practice location

815 S 10TH St
Elite Anes. - Credentialing
Leesville, LA 71446-4611

Mailing address

6000 Bocage Dr
Alexandria, LA 71303-2191
Phone (318) 419-0756

Other identifiers 3

IdentifierTypeStateIssuer
1861444101OtherLABCBS OF LA
1177440MedicaidLA
P01032689OtherLARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304001237 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739077504 Reassigns benefits to 6 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
LCMS Cardiovascular Diseases, LLCGroup PAC ID 1951541515, 34 clinicians

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN099590-AP04371LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Jun 15, 2023 Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc CurrentSince Nov 1, 2017 Accepting new patients
CLHG-Ville Platte LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients
Allen Parish Hospital District No 3 CurrentSince Nov 1, 2024 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Jan 3, 2022 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Jun 15, 2023 Accepting new patients
Allen Parish Hospital District No 3 CurrentSince Nov 1, 2024 Accepting new patients
Allen Parish Hospital District No 3 Current Accepting new patients
Natchitoches Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2018 Accepting new patients
Apex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3306 Giamanco St
Alexandria, LA 71301
Phone (318) 442-5399

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3436 Masonic Dr
Alexandria, LA 71301
Phone (318) 427-6500

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

Organizations & group practices 12

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 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1861444101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BOCAGE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032191",
            "telephone_number": "318-419-0756",
            "fax_number": "337-392-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S 10TH ST",
            "address_2": "ELITE ANES. - CREDENTIALING",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464611",
            "telephone_number": "337-392-5088",
            "fax_number": "337-392-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRES",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN099590-AP04371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "1861444101",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1177440",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01032689",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.