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

Stacey Nicole Rutledge

Individual provider Certified Registered Nurse Anesthetist · NPI 1548130669

Stacey Nicole Rutledge is a Certified Registered Nurse Anesthetist (CRNA) in Farmington, Missouri. Qualified in 2023, 3 years ago. Practices with Midwest Anesthesia Providers SC, a 182-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2025

Practice location Address checks out

1101 W Liberty St
Farmington, MO 63640-1921
Phone: (573) 756-6451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2026014054 (MO)

Record details

NPI number1548130669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address6027 Kensington Way, Imperial, MO 63052-2369

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Midwest Anesthesia Providers Sc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Farmington