STACI M KOTHBAUER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225004757
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
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Provider Addresses for STACI M KOTHBAUER (CRNA)
Saint Mary's Hospital, 700, South Park Street, Greenbush, Madison, Dane County, Wisconsin, 53715, United States
MADISON, WI 537151830
Phone: (608) 251-6100
Fax: (608) 258-5222
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 1 Open Payments records for all available years, with a total value of $556.
Total Amount is formed as General ($556) + Research ($0) + Ownership ($0) = $556.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GE HEALTHCARE ($556).
Total Amount
$556
General + Research + Ownership
Payments
1
Total payment records
General Amount
$556
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HEALTHCARE | $556 |
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: 2006-02-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060221000382 | I | Certified Registered Nurse Anesthetist (Crna) | WI | 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.
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 |
|---|---|---|---|---|
| 00104 | Anesthesia for electroshock therapy | 52 | 16 | $0 |
Insurance plans in this area (ZIP 53715)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| H O S P I T A L I S T | WI | |
| Internal Medicine | WI | |
| Nurse Practitioner | MN | |
| Internal Medicine, Critical Care (Intensivists) | WI |
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