Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelia Dawn Slack, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164497178

Angelia Dawn Slack, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Gallipolis, Ohio. Qualified in 2000, 26 years ago. Practices with Northstar Anesthesia of West Virginia PLLC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky, Ohio and West Virginia.

Years since qualifying
26
Licensed in
KY, OH, WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone: (740) 446-5227
Fax: (740) 441-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Morris St, Charleston, WV 25301-1326 — (304) 388-5432

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence COA.06914-NA (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4064A (KY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 36798 (WV)

Record details

NPI number1164497178
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Northstar Anesthesia Of West Virginia Pllc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gallipolis