Active NPI
Stacy Xavier, CRNA
- Certified Registered Nurse Anesthetist
- Munster, IN
National Provider Identifier
1902425358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28304737A
- Practice address
- 901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321-2901 - Phone
- (219) 703-1443
- Fax
- (219) 513-1127
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9488261 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28304737A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321-2901
Mailing address
901 Macarthur Blvd
Anesthesia Department
Munster, IN 46321
Phone (219) 703-1443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300134500 | Medicaid | IN | |
| 1106786935 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8558 Broadway
Merrillville, IN 46410-7032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9488261 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1902425358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-703-1443",
"fax_number": "219-513-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-703-1443",
"fax_number": "219-513-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XAVIER",
"first_name": "STACY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9488261",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28304737A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300134500",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1106786935",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.