Active NPI
Andrew Thomas Stevenson II, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 114554
- Practice address
- 1000 N Lee Ave
Oklahoma City, OK 73102-1036 - Phone
- (405) 272-7000
- Fax
- (405) 272-8451
- NPI assigned
- Jan 28, 2014
- Last updated
- Sep 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 114554 | OK | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | CTP-000259 | AR | |
| Registered Nurse | 163W00000X | R084170 | AR |
Addresses
Primary practice location
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Mailing address
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
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
Practice addresses (Care Compare)
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7278
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R084170 | AR | MD | Registered Nurse |
| CTP-000259 | AR | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
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.
-
dba SSM Health St Anthony Hospital - Oklahoma City
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
Hospital
-
dba SSM Health St. Anthony Hospital - Oklahoma City
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1932522984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-272-7000",
"fax_number": "405-272-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-272-7000",
"fax_number": "405-272-8451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "114554",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "CTP-000259",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R084170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.