Stage Two Anesthesia PLLC
NPI 1063709392 · Certified Registered Nurse Anesthetist · Nashville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stage Two Anesthesia PLLC is a Certified Registered Nurse Anesthetist organization in Nashville, TN (NPI 1063709392).
Provider details
- NPI number
- 1063709392
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Victor Martin, Owner / Authorized Official(952) 442-9770
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1059 Neal St Ste BCookeville, TN 38501-0947Phone: (888) 209-0305Fax: (952) 442-3620
- 79 Fairfield BlvdCrossville, TN 38558-4417Phone: (888) 209-0305Fax: (952) 442-3620
- 310 25th Ave NSuite 105Nashville, TN 37203-1515Phone: (888) 209-0305Fax: (952) 442-3620
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Frequently asked questions
- What is Stage Two Anesthesia PLLC's NPI number?
- Stage Two Anesthesia PLLC's National Provider Identifier (NPI) is 1063709392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stage Two Anesthesia PLLC?
- Stage Two Anesthesia PLLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stage Two Anesthesia PLLC located?
- Stage Two Anesthesia PLLC's practice location on file with NPPES is 210 25th Ave N Ste 920, Nashville, TN 37203-9609.
- What is Stage Two Anesthesia PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stage Two Anesthesia PLLC is (888) 209-0305.
- Does Stage Two Anesthesia PLLC accept Medicare?
- Stage Two Anesthesia PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stage Two Anesthesia PLLC?
- The authorized official listed on Stage Two Anesthesia PLLC's NPPES record is Victor Martin, Owner / Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stage Two Anesthesia PLLC's NPI active?
- Yes — Stage Two Anesthesia PLLC's NPI (1063709392) is active in the NPPES registry as of the last update on 2020-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.