SURGERY CENTER OF SANDUSKY LLC
NPI 1891883096
Nurse Anesthetist, Certified Registered in Sandusky, OH

Active since October 11, 2006CLIA 36D1007764 · Waiver
2616 HAYES AVE, SANDUSKY, OH 44870(419) 626-2800(419) 626-2820 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Aug 18, 2022, May 23, 2022 and 2 more (5 updates tracked since 2020).

About Surgery Center Of Sandusky Llc NPPES

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

SURGERY CENTER OF SANDUSKY LLC (NPI 1891883096), doing business as Surgery Center Of Sandusky, is a healthcare organization registered as a nurse anesthetist, certified registered in Sandusky, Ohio and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Deborah Haner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1891883096
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSURGERY CENTER OF SANDUSKY LLC
Location Address2616 HAYES AVESandusky, OH 44870-5311
Mailing Address2616 Hayes AveSandusky, OH 44870-5311 · (419) 626-2800 · Fax (419) 626-2820
Fax(419) 626-2820
Organization SubpartNo
Authorized OfficialDeborah HanerCredentialing Manager · (269) 207-7924
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 19, 20265 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1891883096 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 · 0508AS
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.
2616 HAYES AVE, Sandusky, OH 44870

Other Names 1

Doing Business AsSurgery Center Of Sandusky

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgery Center Of Sandusky Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Surgery Center Of Sandusky LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1639162803
195 WADSWORTH RD
Wadsworth, OH 44281
(330) 334-2863
✔ Accepts Medicare57 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831195940
400 WABASH AVE
Akron, OH 44307
(330) 344-6000
✔ Accepts Medicare66 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710124201
190 N UNION ST SUITE 104
Akron, OH 44304
(330) 253-9145
✔ PECOS✔ Accepts Medicare67 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447208434
2855 SWEET FLAG WAY
Stow, OH 44224
(330) 618-9944
✔ PECOS✔ Accepts Medicare71 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033444393
1320 MERCY DR NW
Canton, OH 44708
(330) 489-1111
✔ Accepts Medicare81 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881644698
1350 E MARKET ST
Warren, OH 44483
(330) 841-9230
✔ Accepts Medicare101 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1007764

Surgery Center Of Sandusky · Sandusky, OH
Active · expires Dec 29, 2026
CLIA Number36D1007764
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorJoellen R. Street
Laboratory Phone(419) 626-2800
Laboratory LocationSurgery Center Of Sandusky2616 Hayes Avenue, Sandusky, OH 44870
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Surgery Center Of Sandusky LLC's NPI number?

The NPI number for Surgery Center Of Sandusky LLC is 1891883096. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Surgery Center of Sandusky.

Where is Surgery Center Of Sandusky LLC located?

Surgery Center Of Sandusky LLC is located at 2616 Hayes Ave, Sandusky, OH 44870. The listed phone number is (419) 626-2800.

What is Surgery Center Of Sandusky LLC's specialty?

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

Is Surgery Center Of Sandusky LLC enrolled in Medicare?

Yes. Surgery Center Of Sandusky LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgery Center Of Sandusky LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Surgery Center Of Sandusky LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgery Center Of Sandusky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1007764) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Sandusky LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Surgery Center Of Sandusky LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Sandusky LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.