Individual provider Active NPI

Kara Nicole Stephenson, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Louis, MO
National Provider Identifier
1992126379
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2014000686 Issued in MO
Practice address
12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone
(314) 996-8685
Fax
(314) 996-8479
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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 APRN.CRNA.0020325 OH
Certified Registered Nurse Anesthetist 367500000X 2014000686 MO Primary

Addresses

Primary practice location

12634 Olive Blvd
Saint Louis, MO 63141-6337

Mailing address

660 S Euclid Ave
CB 8054
Saint Louis, MO 63110-1010
Phone (314) 996-8685

Other practice location 1

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140422001046 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204068422
I20210820002894 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204068422 Reassigns benefits to 4 organizations

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
Apex Anesthesia AssociatesGroup PAC ID 8426574179, 3 clinicians
Cable Sleep LLCGroup PAC ID 2567892268, 6 clinicians

Practice addresses (Care Compare)

375 N Eastown Rd
Lima, OH 45807-2209
Phone (419) 228-3500

512 N Cable Rd
Lima, OH 45805-2133
Phone (419) 228-2600

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014000686MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jul 26, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Jun 1, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jul 26, 2021 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jul 11, 2025 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Apex Anesthesia Associates CurrentSince Feb 27, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Jun 1, 2025 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2025 Accepting new patients
Washington University Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

L3982
Columbus, OH 43260

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1709 Medical Blvd
Findlay, OH 45840
Phone (419) 429-0409

375 N Eastown Rd
Lima, OH 45807
Phone (419) 228-3500

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1992126379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8054",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-996-8685",
            "fax_number": "314-996-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416337",
            "telephone_number": "314-996-8685",
            "fax_number": "314-996-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Bellefontaine Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042800",
            "country_code": "US",
            "telephone_number": "419-228-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KARA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020325",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2014000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.