STACIE HENDRY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1609845155

STACIE HENDRY (CRNA) is a healthcare provider. based in Fort myers, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN3048122 (FL). The NPI Number for STACIE HENDRY (CRNA) is 1609845155

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
STACIE HENDRY (CRNA)
NPI
1609845155
Phone
(239) 939-2622
Address
13731 HICKORY RUN LN
Enumeration Date
16 March 2006
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392428010
Graduation Year
2000 (26 years ago)
PAC ID
3375552839
Group Practice PAC ID
1355352279
Professional Enrollment ID
I20060411000372
Address ID
FL339045782CA2721XSXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for STACIE HENDRY (CRNA)

  • 13731 HICKORY RUN LN

    FORT MYERS, FL 339127896

    Phone: (239) 939-2622

    Fax: (239) 939-0151

    Type: Mailing

  • 12511 WORLD PLAZA LN BLDG 50

    FORT MYERS, FL 339073991

    Phone: (239) 939-2622

    Fax: (239) 939-0151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060411000372ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00910Anesthesia for other procedure on urinary system through urethra1616$0
View full utilization report →

Insurance plans in this area (ZIP 33912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355352279View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

How is STACIE HENDRY (CRNA) identified in CMS data?
CMS-hosted NPPES data lists STACIE HENDRY (CRNA) with NPI 1609845155.
Does CMS list STACIE HENDRY (CRNA) as active?
Yes — STACIE HENDRY (CRNA) is active in the NPI listing used on this page.
What healthcare role does STACIE HENDRY (CRNA) hold?
Scheduling teams often label STACIE HENDRY (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does STACIE HENDRY (CRNA) list a practice location?
Patients near Fort Myers, Florida may find STACIE HENDRY (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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