STEPHEN BLAKELY EZZELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164474623
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,626 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL
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Provider Addresses for STEPHEN BLAKELY EZZELL (CRNA)
Dothan Post Office, West Burdeshaw Street, Dothan, Houston County, Alabama, 36303, United States
DOTHAN, AL 36302
Phone: (334) 793-5000
Fax: (334) 615-8419
Type: Mailing
Flowers Hospital, 4370, West Main Street, Brannon Stand Heights, Brannon Stand, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 363051056
Phone: (334) 793-5000
Fax: (334) 615-8419
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-03-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($28).
Total Amount
$91
General + Research + Ownership
Payments
4
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040517000793 | I | Certified Registered Nurse Anesthetist (Crna) | AL | TBD |
| I20240513002848 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 31 | 31 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 14 | 14 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 14 | 14 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 36302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Nurse Practitioner | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| - | AL | |
| - | AL | |
| - | CA |
Reviews
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