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

Russell Stagg, CRNA

Individual provider Registered Nurse · NPI 1720356496

Russell Stagg, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Meeker, Colorado. Qualified in 2011, 15 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in Missouri and Utah.

Years since qualifying
15
Licensed in
MO, UT
In the registry since
2011
Specialties on file
2
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

100 Pmc Dr
Meeker, CO 81641-3181
Phone: (970) 878-9740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2012001556 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 6154226-3102 (UT)

Record details

NPI number1720356496
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 8, 2011
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing addressPo Box 2541, Meeker, CO 81641-2541

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pine Ridge Indian Health Service Hospital — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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