Individual provider Active NPI

Stephanie Mickley, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1992754642
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-112443 Issued in OH
Practice address
190 N Union St
Ste 104
Akron, OH 44304-1369
Phone
(330) 253-9145
Fax
(330) 253-6222
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-112443 OH Primary

Addresses

Primary practice location

190 N Union St
Ste 104
Akron, OH 44304-1369

Mailing address

190 N Union St
Ste 104
Akron, OH 44304-1369
Phone (330) 253-9145

Other identifiers 7

IdentifierTypeStateIssuer
120780OtherOHKAISER PERMANENTE INDV #
7091249MedicaidOH
730594OtherOHBUCKEYE COMMUNITY HLTH PL
100153OtherOHEMPLOYER KAISER GROUP #
2080224OtherOHEMP UNITED HEALTHCARE GRP
000000125767OtherOHANTHEM BCBS INDV NUMBER
0842128MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000291 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648437020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Anesthesia and Pain Services LLCGroup PAC ID 8022245372, 217 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 615-3000

405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 226-3200

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN-112443OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2015 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992754642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N UNION ST",
            "address_2": "STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041369",
            "telephone_number": "330-253-9145",
            "fax_number": "330-253-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N UNION ST",
            "address_2": "STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041369",
            "telephone_number": "330-253-9145",
            "fax_number": "330-253-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLEY",
        "first_name": "STEPHANIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-112443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE INDV #",
            "identifier": "120780",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091249",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HLTH PL",
            "identifier": "730594",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER KAISER GROUP #",
            "identifier": "100153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP UNITED HEALTHCARE GRP",
            "identifier": "2080224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS INDV NUMBER",
            "identifier": "000000125767",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.