STAGE TWO ANESTHESIA PLLC
NPI 1063709392
Nurse Anesthetist, Certified Registered in Nashville, TN

Q: What is Stage Two Anesthesia PLLC's NPI number?

The NPI number for Stage Two Anesthesia PLLC is 1063709392. It was assigned to this organization in the NPPES registry on July 7, 2011.

Q: What is Stage Two Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since July 07, 2011

210 25TH AVE N STE 920, NASHVILLE, TN 37203(888) 209-0305(952) 442-3620 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2020, Aug 1, 2019 (2 updates tracked since 2019).

On this page

About Stage Two Anesthesia Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAGE TWO ANESTHESIA PLLC (NPI 1063709392) is a healthcare organization registered as a nurse anesthetist, certified registered in Nashville, Tennessee and active in the NPI registry since July 2011. The organization maintains 3 additional practice locations and lists Victor L Martin, Owner / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063709392

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameSTAGE TWO ANESTHESIA PLLC

Location Address210 25TH AVE N STE 920Nashville, TN 37203-9609

Mailing Address400 East 10th StWaconia, MN 55387-4552 · (888) 209-0305 · Fax (952) 442-3620

Phone(888) 209-0305

Fax(952) 442-3620

Organization SubpartNo

Authorized OfficialVictor L MartinOwner / Authorized Official · (952) 442-9770

Enumeration DateJuly 7, 2011

Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration

✔ NPI 1063709392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

210 25TH AVE N STE 920, Nashville, TN 37203

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11059 Neal St Ste BCookeville, TN 38501-0947 · Phone (888) 209-0305 · Fax (952) 442-3620

Location 279 Fairfield BlvdCrossville, TN 38558-4417 · Phone (888) 209-0305 · Fax (952) 442-3620

Location 3310 25th Ave N, Suite 105Nashville, TN 37203-1515 · Phone (888) 209-0305 · Fax (952) 442-3620

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stage Two Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 25 clinicians reassign Medicare billing to Stage Two Anesthesia PLLC, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.