STEPHANIE MARYANN DONNELLY CRNA
NPI 1164811154
Nurse Anesthetist, Certified Registered in Roseville, MN

Active since January 14, 2015PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
2700 SNELLING AVE N, ROSEVILLE, MN 55113(651) 251-8025 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephanie Maryann Donnelly Crna NPPES

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

STEPHANIE MARYANN DONNELLY CRNA (NPI 1164811154) is an individual nurse anesthetist, certified registered in Roseville, Minnesota, licensed in Minnesota (R 153293-3) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with New Ulm Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164811154
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEPHANIE MARYANN DONNELLYCredential: CRNA
Location Address2700 SNELLING AVE NRoseville, MN 55113-1719
Mailing Address2700 Snelling Ave NRoseville, MN 55113-1719 · (651) 251-8025
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 14, 2015
✔ NPI 1164811154 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
License✔ Licensed in MN · R 153293-3
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.
2700 SNELLING AVE N, Roseville, MN 55113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Maryann Donnelly Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123346202
PECOS Enrollment IDI20150422000300
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Stephanie Donnelly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
4166 LEXINGTON AVE N
Shoreview, MN 55126
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2622 132ND AVE NE
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 29 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7211 OHMS LN
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Twin Cities Anesthesia PA
  • 15 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Clinic/Center
1575 20TH ST NW STE 101
Faribault, MN 55021
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.37

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, STE 400
ROSEVILLE, MN 55113
Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, SUITE 400
ROSEVILLE, MN 55113
Social Worker (Clinical)
2700 SNELLING AVE N
ROSEVILLE, MN 55113
Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, SUITE 400
ROSEVILLE, MN 55113
Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, SUITE 400
ROSEVILLE, MN 55113
Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, SUITE 400
ROSEVILLE, MN 55113
Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, STE 400
ROSEVILLE, MN 55113
Nurse Anesthetist, Certified Registered
2700 SNELLING AVE N, STE 400
ROSEVILLE, MN 55113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Donnelly's NPI number?

The NPI number for Stephanie Donnelly is 1164811154. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Where is Stephanie Donnelly located?

Stephanie Donnelly practices at 2700 Snelling Ave N, Roseville, MN 55113. The listed phone number is (651) 251-8025.

What is Stephanie Donnelly's specialty?

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

Is Stephanie Donnelly enrolled in Medicare?

Yes. Stephanie Donnelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephanie Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Donnelly reassigns Medicare benefits to 5 organizations: Allina Health System (Shoreview, MN), Twin Anesthesia LLC (Blaine, MN), Twin Cities Anesthesia, P.A. (Edina, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and Eye Clinic Of Faribault PA (Faribault, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephanie Donnelly affiliated with any hospitals?

According to CMS data, Stephanie Donnelly is affiliated with New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Donnelly was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.