STACI DAWN MARTIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386694669

STACI DAWN MARTIN (CRNA) is a healthcare provider. based in Canton, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. COA08483NA (OH). The NPI Number for STACI DAWN MARTIN (CRNA) is 1386694669

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
STACI DAWN MARTIN (CRNA)
NPI
1386694669
Phone
(330) 363-7462
Address
2600 SIXTH STREET SW
Enumeration Date
10 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306494214
Graduation Year
2005 (21 years ago)
PAC ID
4688686702
Group Practice PAC ID
3971971060
Professional Enrollment ID
I20060607000303
Address ID
OH447182531CA4151XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

Provider Addresses for STACI DAWN MARTIN (CRNA)

  • 2600 SIXTH STREET SW

    OHIO HOSPITAL BASED PHYSICIAN CORP

    CANTON, OH 44710

    Phone: (330) 363-7462

    Fax: (330) 363-7679

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($41).

Total Amount

$194

General + Research + Ownership

Payments

11

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-06-07

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
I20060607000303ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44710)

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Provider's Procedures

STACI DAWN MARTIN (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 ANESTHETOH00142Anesthesia for lens surgery196169

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: 3971971060View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

How do payers reference STACI DAWN MARTIN (CRNA)?
For STACI DAWN MARTIN (CRNA), use NPI 1386694669 as the unique 10-digit identifier.
Is there an active status for STACI DAWN MARTIN (CRNA)?
For scheduling context, STACI DAWN MARTIN (CRNA) is shown as active in the registry.
What area of care is associated with STACI DAWN MARTIN (CRNA)?
STACI DAWN MARTIN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is STACI DAWN MARTIN (CRNA) associated with Canton?
Public fields place STACI DAWN MARTIN (CRNA) around Canton, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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