Stacey Marie Demonbreun
NPI 1134936156ActiveIndividual· Student in an Organized Health Care Education/Training Program· Madisonville, LA
Student in an Organized Health Care Education/Training Program with Anesthesiology Associates of Tallahassee Inc, practicing in Madisonville, Louisiana. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1134936156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 12, 2024 |
| Last updated in NPPES | Dec 12, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
| Registered Nurse | 163W00000X | 218595 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (FL) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Anesthesiology Associates of Tallahassee IncTallahassee, FL · 132 clinicians
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