STEPHANIE J PROICOU (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104152941

STEPHANIE J PROICOU (CRNA) is a healthcare provider. based in Westerville, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. COA11045 (OH). The NPI Number for STEPHANIE J PROICOU (CRNA) is 1104152941

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE J PROICOU (CRNA)
NPI
1104152941
Phone
(614) 722-4200
Address
455 Executive Campus Dr
Enumeration Date
29 October 2009
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6147226158
Graduation Year
2003 (23 years ago)
PAC ID
2567501828
Group Practice PAC ID
4587568993
Professional Enrollment ID
I20091125000404
Address ID
OH432052664CO700XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for STEPHANIE J PROICOU (CRNA)

  • 455 Executive Campus Dr

    Westerville, OH 430828870

    Phone: (614) 722-4200

    Fax: (614) 722-4203

    Type: Location

  • Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States

    COLUMBUS, OH 432052664

    Phone: (614) 722-4200

    Fax: (614) 722-4203

    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: 2009-11-25

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
I20091125000404ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 surgery1515$0
View full utilization report →

Insurance plans in this area (ZIP 43082)

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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: 4587568993View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANIE J PROICOU (CRNA)?
NPI 1104152941 is assigned to STEPHANIE J PROICOU (CRNA) under the national enumeration system.
Is STEPHANIE J PROICOU (CRNA)'s NPI currently valid?
The extract we use shows STEPHANIE J PROICOU (CRNA) as active.
What kind of provider is STEPHANIE J PROICOU (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for STEPHANIE J PROICOU (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE J PROICOU (CRNA)?
The page summarizes Westerville, Ohio for STEPHANIE J PROICOU (CRNA); expand the address list for detail.
Is STEPHANIE J PROICOU (CRNA) a real provider?
This page reflects official NPPES data for NPI 1104152941. Always confirm identity and privileges with the practice and licensing boards.

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