Stacey Marie Jansen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

COA.14005-NA Issued in OH

Practice address

40 W Erie St
Suite 203
Painesville, OH 44077-3274

Phone

(440) 350-0832

Fax

(440) 354-7420

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Anesthesia Group, IncGroup PAC ID 9537222138, 130 clinicians

Wooster Pain and Anesthesia Center LLCGroup PAC ID 1557500782, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.jansen.p1@direct.gastroandhepatology.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Ohio Anesthesia Group, Inc

  • Anesthesiology Physician
  • Canton, OH
  • NPI 1639348113

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Wooster Pain and Anesthesia Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Wooster, OH
  • NPI 1649616947
  Medicare reassignment Care Compare group
• Borgelt Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Medina, OH
  • NPI 1467274712

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• East Columbus Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
  • NPI 1619114824

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Nye Eye Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Cuyahoga Falls, OH
  • NPI 1013483437

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southwest Ohio Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1588645188

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Malabar Anesthesia Services Inc

  • Anesthesiology Physician
  • Mansfield, OH
  • NPI 1922497940
  Medicare reassignment
• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment
• East Columbus Surgery Center LLC

  • Clinic/Center
  • Columbus, OH
  • NPI 1295708246
  NPD
• Southwest Ohio Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1255768107

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1992058945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W ERIE ST",
            "address_2": "SUITE 203",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773274",
            "telephone_number": "440-350-0832",
            "fax_number": "440-354-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "567-307-7557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-462-3485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 N Sandusky Ave",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201821",
            "country_code": "US",
            "telephone_number": "419-562-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.14005-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Painesville, OH
• Providers in Painesville, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.