BRANDY L COOLEY-DEBOLT CRNA
NPI 1801940671
Nurse Anesthetist, Certified Registered in Dover, OH

Q: What is Brandy Cooley-debolt's NPI number?

The NPI number for Brandy Cooley-debolt is 1801940671. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Brandy Cooley-debolt's specialty?

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

Active since January 22, 2007Accepts Medicare Assignment

82.05/100

CMS Quality Rating

659 BOULEVARD ST, DOVER, OH 44622(330) 602-0767(330) 365-3831 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Brandy L Cooley-debolt Crna NPPES

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

BRANDY L COOLEY-DEBOLT CRNA (NPI 1801940671) is an individual nurse anesthetist, certified registered in Dover, Ohio, licensed in Ohio (RN292699) and active in the NPI registry since January 2007. She is affiliated with Southeastern Ohio Regional Medical Center and is a graduate of Other (2006).

NPPES Registry Identity

NPI1801940671

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameBRANDY L COOLEY-DEBOLTCredential: CRNA

Location Address659 BOULEVARD STDover, OH 44622-2026

Mailing Address659 Boulevard StDover, OH 44622-2026 · (330) 602-0767 · Fax (330) 365-3831

Phone(330) 602-0767

Fax(330) 365-3831

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 22, 2007

Last NPPES UpdateApril 21, 2010

✔ NPI 1801940671 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 OH · RN292699

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.

659 BOULEVARD ST, Dover, OH 44622

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Brandy L Cooley-debolt 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 ID8527162742

PECOS Enrollment IDI20070328000425

Medicare Billing Reassignments

Medicare enrollment records show Brandy Cooley-debolt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohio Anesthesia Group, Inc

21 mi

Anesthesiology

1320 MERCY DR NW
Canton, OH 44708

Reassigned Medicare billing, Ohio enrollment
554 clinicians in this Medicare group

NPI 1639348113 (330) 656-5215

Northstar Anesthesia Of Ohio LLC

129 mi

Anesthesiology

2615 E HIGH ST
Springfield, OH 45505

Reassigned Medicare billing, Ohio enrollment
471 clinicians in this Medicare group

NPI 1417276429 (214) 687-0496

Anesthesia & Intensive Care Consultants,inc.

174 mi

Anesthesiology

3000 HOSPITAL DR
Batavia, OH 45103

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
830 clinicians in this Medicare group

NPI 1164859013 (859) 341-7246

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 4

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 shock wave therapy for urinary system stones without water bath 00873

Anesthesia for shock wave therapy helps in comfortably breaking down urinary system stones. This is done without a water bath, using a device that sends shock waves to disintegrate the stones into small pieces, making them easier to pass naturally.

31 services27 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

24 services24 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services15 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360203

Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44622 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

82.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.89

Improvement Activities

Other Providers at the Same Location NPPES 20

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

CLEVELAND CLINIC UNION HOSPITAL

Clinic/Center (Emergency Care)