STACEY MARIE JANSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992058945

STACEY MARIE JANSEN (CRNA) is a healthcare provider. based in Galion, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. COA.14005-NA (OH). The NPI Number for STACEY MARIE JANSEN (CRNA) is 1992058945

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STACEY MARIE JANSEN (CRNA)
NPI
1992058945
Phone
(419) 462-3485
Address
269 Portland Way S
Enumeration Date
16 October 2012
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302849119
Graduation Year
2012 (14 years ago)
PAC ID
2264684059
Group Practice PAC ID
1557500782
Professional Enrollment ID
I20121129000531
Address ID
OH446917130WO3373XPKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

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

Provider Addresses for STACEY MARIE JANSEN (CRNA)

  • 269 Portland Way S

    Galion, OH 448332312

    Phone: (419) 462-3485

    Type: Location

  • 700 N COLUMBUS ST

    CRESTLINE, OH 448271455

    Phone:

    Type: Mailing

  • 40 W ERIE ST

    SUITE 203

    PAINESVILLE, OH 440773274

    Phone: (440) 350-0832

    Fax: (440) 354-7420

    Type: Location

  • 715 Richland Mall

    Ontario, OH 449063802

    Phone: (567) 307-7557

    Type: Location

  • 629 N Sandusky Ave

    Bucyrus, OH 448201821

    Phone: (419) 562-4677

    Type: Location

  • PO BOX 77033

    CLEVELAND, OH 441947033

    Phone: (440) 350-0832

    Fax: (440) 354-7420

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Stryker Corporation ($26).

Total Amount

$68

General + Research + Ownership

Payments

3

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-11-29

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
I20121129000531ICertified 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
01992Anesthesia for nerve block and injection procedure, prone position123105$0
00142Anesthesia for lens surgery7972$0
00812Anesthesia for exam of colon using an endoscope2929$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2423$0
01402Anesthesia for procedure for total knee joint replacement1716$0
View full utilization report →

Insurance plans in this area (ZIP 44833)

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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: 1557500782View full group profile
NameSpecialtyState
-OH
Pain Management, AnesthesiologyOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Clinical Nurse Specialist (Cns)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Can I cross-check STACEY MARIE JANSEN (CRNA) using NPI 1992058945?
NPI 1992058945 belongs to STACEY MARIE JANSEN (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to STACEY MARIE JANSEN (CRNA)?
You should see STACEY MARIE JANSEN (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is STACEY MARIE JANSEN (CRNA)?
STACEY MARIE JANSEN (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is STACEY MARIE JANSEN (CRNA) registered?
Use Galion, Ohio as the headline location for STACEY MARIE JANSEN (CRNA) here.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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