Staci M. Kothbauer, CRNA
NPI 1225004757ActiveIndividual· Nurse Anesthetist, Certified Registered· Madison, WI
Nurse Anesthetist, Certified Registered (CRNA) with Dean Health Systems Inc, practicing in Madison, Wisconsin. Medicare paid $3,118 for services to 27 patients in 2024. Ge Healthcare reported $556.00 in payments in 2024, mostly consulting fees. Lists Ssm Health St Clare Hospital - Baraboo and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225004757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Feb 24, 2006 |
| Last updated in NPPES | Dec 4, 2020 |
| Certified by provider | Dec 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 13813430 | WI |
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) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 57 across 8 procedure codes |
| Paid by Medicare | $3,118 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Dean Health Systems IncSun Prairie, WI · 1,159 clinicians
Hospital affiliations
- Ssm Health St Clare Hospital - BarabooBaraboo, WI
- Ssm Health St Mary's Hospital - MadisonMadison, WI
Industry payments (Open Payments)
- 2024$556.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ge Healthcare | $556.00 | 1 |
What the 2024 payments were for
- Consulting Fee$556.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 170 nurse anesthetists in Madison · All nurse anesthetists in Wisconsin