Individual provider Active NPI

Stephen Thomas Violett, CRNA

  • Certified Registered Nurse Anesthetist
  • Boston, MA
National Provider Identifier
1942561030
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
242685 Issued in MA
Practice address
55 Fruit St.
GRB 444
Boston, MA 02114
Phone
(617) 726-3030
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 APRN01007 RI
Certified Registered Nurse Anesthetist 367500000X 242685 MA Primary

Addresses

Primary practice location

55 Fruit St.
GRB 444
Boston, MA 02114

Mailing address

55 Fruit St
GRB 444
Boston, MA 02114-2621
Phone (617) 726-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120827000008 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446407498 Reassigns benefits to 5 organizations
I20230407000978 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446407498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.82 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242685MAMDCertified Registered Nurse Anesthetist
APRN01007RIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Icon Anesthesia Services of New England LLC CurrentSince Feb 3, 2025 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Milford Anesthesia Consultants PC CurrentSince Aug 21, 2023 Accepting new patients
Anesthesia Partners of New England, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Coastal Medical Associates Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

145 West St
Milford, MA 01757
Phone (508) 381-5600

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

748 Mount Pleasant St
Unit 50036
New Bedford, MA 02745

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

300 Grove St
Worcester, MA 01605
Phone (508) 754-0700

400 10th St E
Waconia, MN 55387

62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030

444 Quaker Ln
Warwick, RI 02886
Phone (401) 935-1439

444 Quaker Ln
Unit 2
Warwick, RI 02886

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1942561030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "GRB 444",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST.",
            "address_2": "GRB 444",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETT",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN01007",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "242685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.