Stacey M South, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP110748 Issued in TX

Practice address

6606 LBJ Fwy
Suite 200
Dallas, TX 75240

Phone

(972) 715-5000

Fax

(972) 715-9976

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Metropolitan Anesthesia Consultants, LLPGroup PAC ID 3971516642, 137 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044

Merit-based Incentive Payment System (MIPS)

Final score

88.94 of 100Reported as group

Quality

91.31

Improvement activities

40

Cost

79.05

Merit-based Incentive Payment System (MIPS)

Final score

95.1 of 100Reported as group

Quality

88.97

Promoting interoperability

79

Improvement activities

40

Cost

83.75

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 27)

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.

• Metropolitan Anesthesia Consultants, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1902859697
  Medicare reassignment Care Compare group NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  dba Greater Houston Anesthesiology, P.A.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Integral Anesthesia, LLC

  • Anesthesiology Physician
  • Jenks, OK
  • NPI 1881041515

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mesquite Professional Anesthesia, PA

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1831209949
  Medicare reassignment NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sound Physicians Anesthesiology of Texas PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1295356277
  Medicare reassignment NPD
• Afterglow Anesthesia PLLC

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1558180083
  Medicare reassignment
• Texas Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1144673468
  Medicare reassignment
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Mesquite, TX
  • NPI 1447792700

  Nurse Anesthetist, Certified Registered

  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Michael Allison, M.D.

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1336144724

  Hospital

  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Renato Victor Bosita, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1184663163

  Hospital

  Care Compare affiliation
• Albert C Broders III, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1699721415

  Hospital

  Care Compare affiliation
• Clinton Ray Brunson, M.D.

  • Diagnostic Radiology Physician
  • Palestine, TX
  • NPI 1942252267

  Hospital

  Care Compare affiliation
• Allan Odell Cook Jr., M.D.

  • Vascular Surgery Physician
  • Richardson, TX
  • NPI 1902842008

  Hospital

  Care Compare affiliation
• Bobby Huynh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
  • NPI 1114035383

  Hospital

  Care Compare affiliation
• Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
  • NPI 1538170261

  Hospital

  Care Compare affiliation
• Rockwall Regional Hospital, LLC

  dba Texas Health Hospital Rockwall

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1629138029
  Care Compare affiliation
• Fayez G Seif, MD

  • Gastroenterology Physician
  • Mesquite, TX
  • NPI 1861591604

  Hospital

  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  dba Baylor Scott & White Heart and Vascular Hospital - Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation
• Johnny Lee White Jr., MD

  • Interventional Pain Medicine Physician
  • Odessa, TX
  • NPI 1336252477

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1962515031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "STACEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "616796",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP110748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P01446768",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140480805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140480812",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBNE",
            "identifier": "616796",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8339UG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Dental Associates, LP
• South Texas Dental Associates, LP
• South Texas Home Hemodialysis LLC
• South Texas Medical Center
• South West Center Medical PA
• Stephanie Nicole Southall, RD, LD
• Southeast Anesthesia & Pain Management LLC
• Southeast Dallas Health Center
• Marve Southerland
• Southern Area Behavioral Healthcare LLC

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.