MS. STEFANY MCMULLEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891148094

Certified Registered Nurse Anesthetist

MS. STEFANY MCMULLEN (CRNA) is a healthcare provider. based in Salem, Oregon. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 201608320CRNA-PP (OR). The NPI Number for MS. STEFANY MCMULLEN (CRNA) is 1891148094

Main info

Female

Sole Proprietor

10 Years Of Experience

Accepts Medicare Assignment

Name

MS. STEFANY MCMULLEN (CRNA)

NPI

1891148094

Phone

Not provided

Address

5230 EOLA DR NW

Enumeration Date

22 July 2016

Last Update Date

14 November 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5037631973

Graduation Year

2016 (10 years ago)

PAC ID

9830479609

Group Practice PAC ID

7618908484

Professional Enrollment ID

I20161213002297

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience41

Completeness75

Years active:9State licenses:2Digital endpointsOther names

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Provider Addresses for MS. STEFANY MCMULLEN (CRNA)

Eola Drive Northwest, West Salem, Salem, Polk County, Oregon, 97304, United States
SALEM, OR 973043355
Phone:
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: 2016-12-13

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

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
I20161213002297	I	Certified Registered Nurse Anesthetist (Crna)	OR	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00142	Anesthesia for lens surgery	213	190	$0

View full utilization report →

Insurance plans in this area (ZIP 97304)

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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: 7618908484View full group profile

Name	Specialty	State
DAVID KLEIMAN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
MR. MATTHEW JEFFREY DOHERTY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	CO
DIONE E BLANSIT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
RODNEY D MANN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NV
AJAZ BASHIR SHEIKH	Certified Registered Nurse Anesthetist (Crna)	TN
DR. ANNE P COUSINS (DNPA, CRNA)	Certified Registered Nurse Anesthetist (Crna)	VA
MR. JAMIE COBB (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OR
DR. JOHN FREDERICK SWETLAND (MD)	A N E S T H E S I O L O G Y	CA
KYLE SMITH (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
TYSON FLOHR (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OR

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Frequently asked questions

Is MS. STEFANY MCMULLEN (CRNA) listed with a National Provider Identifier?

Yes — MS. STEFANY MCMULLEN (CRNA) has NPI 1891148094 on file in the registry.

Is MS. STEFANY MCMULLEN (CRNA) shown as active in public data?

Registry records indicate MS. STEFANY MCMULLEN (CRNA) maintains an active NPI.

What clinical focus is listed for MS. STEFANY MCMULLEN (CRNA)?

At a glance, MS. STEFANY MCMULLEN (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What practice footprint exists for MS. STEFANY MCMULLEN (CRNA)?

Travel planning: use Salem, Oregon as the reference point for MS. STEFANY MCMULLEN (CRNA), then confirm.

Does MS. STEFANY MCMULLEN (CRNA) accept insurance?

Insurance participation is not part of the core NPI extract — call the plan or office to confirm.