Individual provider Active NPI

Annabell Stimac, CRNA

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
National Provider Identifier
1013018126
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN083826 Issued in AZ
Practice address
3060 N Ridgecrest
Apt 164
Mesa, AZ 85207-1077
Phone
(480) 654-8197
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN083826 AZ Primary

Addresses

Primary practice location

3060 N Ridgecrest
Apt 164
Mesa, AZ 85207-1077

Mailing address

3060 N Ridgecrest
Apt 164
Mesa, AZ 85207-1077
Phone (480) 654-8197

Other identifiers 1

IdentifierTypeStateIssuer
01036302MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000496 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668487810 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians

Practice addresses (Care Compare)

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Dec Anesthesia LLC CurrentSince Apr 1, 2021 Accepting new patients
Mesa Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2011 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince May 1, 2020 Accepting new patients
Asap Anesthesia, LLC CurrentSince Jan 11, 2022 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Ips of Phoenix LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Forest Country Anesthesia, P.C. Past Accepting new patients

Locations

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

2680 S Val Vista Dr
Ste 127
Gilbert, AZ 85295
Phone (480) 253-5656

2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

8573 E Princess Dr
Ste 215
Scottsdale, AZ 85255
Phone (480) 563-5757

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1013018126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 N RIDGECREST",
            "address_2": "APT 164",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071077",
            "telephone_number": "480-654-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 N RIDGECREST",
            "address_2": "APT 164",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071077",
            "telephone_number": "480-654-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMAC",
        "first_name": "ANNABELL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN083826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01036302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.