Individual provider Active NPI

Stephanie Grolemund, CRNA

  • Certified Registered Nurse Anesthetist
  • Williamsville, NY
National Provider Identifier
1871922419
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
541767 Issued in NY
Practice address
30 S Cayuga Rd
Williamsville, NY 14221-6728
Phone
(716) 632-1088
Fax
(716) 632-7842
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 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 541767 NY Primary

Addresses

Primary practice location

30 S Cayuga Rd
Williamsville, NY 14221-6728

Mailing address

30 S Cayuga Rd
Williamsville, NY 14221-6728
Phone (716) 632-1088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140213000036 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072742147 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew J. Siedlecki, M.D., PCGroup PAC ID 2860457025, 13 clinicians

Practice addresses (Care Compare)

170 Maple Rd
Williamsville, NY 14221-2930
Phone (716) 634-8500

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fichte-Endl & Elmer Eye Surgery, PC CurrentSince Jan 3, 2025 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2022 Accepting new patients
Fichte, Endl & Elmer Eye Surgery PC CurrentSince Jan 3, 2025 Accepting new patients
Andrew J. Siedlecki, M.D., PC CurrentSince Oct 23, 2018 Accepting new patients
Erie County Medical Center Corporation CurrentSince Jan 19, 2015 Accepting new patients
Sunrise Surgery Center LLC CurrentSince Sep 1, 2021 Accepting new patients
Erie County Medical Center Corporation CurrentSince Jan 19, 2015 Accepting new patients

Locations

2825 Niagara Falls Blvd
Ste 130
Buffalo, NY 14228
Phone (716) 564-2020

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

3349 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 508-0995

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

170 Maple Rd
Williamsville, NY 14221
Phone (716) 634-4050

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1871922419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S CAYUGA RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216728",
            "telephone_number": "716-632-1088",
            "fax_number": "716-632-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S CAYUGA RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216728",
            "telephone_number": "716-632-1088",
            "fax_number": "716-632-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLEMUND",
        "first_name": "STEPHANIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "541767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.