MR. JERRY LEE STUFFLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1922257211

MR. JERRY LEE STUFFLE (CRNA) is a healthcare provider. based in Crown point, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28121816A (IN). The NPI Number for MR. JERRY LEE STUFFLE (CRNA) is 1922257211

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. JERRY LEE STUFFLE (CRNA)
NPI
1922257211
Phone
(219) 365-7954
Address
8673 CALHOUN PL
Enumeration Date
11 September 2008
Last Update Date
11 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199420551
Graduation Year
2008 (18 years ago)
PAC ID
1254496227
Group Practice PAC ID
1951322353
Professional Enrollment ID
I20090209000394
Address ID
IN463426638HO1500XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for MR. JERRY LEE STUFFLE (CRNA)

  • 8673 CALHOUN PL

    CROWN POINT, IN 463077713

    Phone: (219) 365-7954

    Mailing address matches the actual address.

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: 2009-02-09

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
I20090209000394ICertified Registered Nurse Anesthetist (Crna)INTBD

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
00142Anesthesia for lens surgery8480$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3635$0
00811Anesthesia for other procedure on large bowel using an endoscope2929$0
00812Anesthesia for exam of colon using an endoscope2121$0
00910Anesthesia for other procedure on urinary system through urethra1717$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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Provider's Procedures

MR. JERRY LEE STUFFLE (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIN00142Anesthesia for lens surgery3025
CERTIFIED REGISTERED NURSE ANESTHETIN00790Anesthesia for procedure in upper abdomen including use of an endoscope1211
CERTIFIED REGISTERED NURSE ANESTHETIN36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1212

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: 1951322353View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TN

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Frequently asked questions

Is MR. JERRY LEE STUFFLE (CRNA) listed with a National Provider Identifier?
Yes — MR. JERRY LEE STUFFLE (CRNA) has NPI 1922257211 on file in the registry.
Is MR. JERRY LEE STUFFLE (CRNA) still an active registrant?
MR. JERRY LEE STUFFLE (CRNA) carries an active NPI according to the public dataset.
What clinical focus is listed for MR. JERRY LEE STUFFLE (CRNA)?
At a glance, MR. JERRY LEE STUFFLE (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Indiana is MR. JERRY LEE STUFFLE (CRNA) registered?
Use Crown Point, Indiana as the headline location for MR. JERRY LEE STUFFLE (CRNA) here.
Can I trust this NPI listing for MR. JERRY LEE STUFFLE (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.