SAMANTHA JO STEVENS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003206962
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN
Provider Addresses for SAMANTHA JO STEVENS (CRNA)
642 W Hospital Rd
Paoli, IN 474549672
Phone: (812) 723-7453
Fax: (812) 723-7500
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1314 E WALNUT ST
WASHINGTON, IN 475012860
Phone: (812) 254-2760
Type: Location
4016 W LOROY AVE
BLOOMINGTON, IN 474031952
Phone:
Type: Mailing
1314 E Walnut St
Washington, IN 475012860
Phone: (812) 254-2760
Type: Location
2900 16TH ST
BEDFORD, IN 474213510
Phone: (812) 276-4378
Fax: (812) 275-1246
Type: Location
PO BOX 3276
EVANSVILLE, IN 477313276
Phone: (812) 473-0181
Type: Mailing
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: 2015-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151028000941 | I | Certified Registered Nurse Anesthetist (Crna) | IN | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 47 | 47 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 32 | 32 | $0 |
| 00142 | Anesthesia for lens surgery | 26 | 24 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | 14 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 13 | 11 | $0 |
Insurance plans in this area (ZIP 47454)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | IN | 00142 | Anesthesia for lens surgery | 25 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IN | |
| - | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
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