Individual provider Active NPI

Neina Orrillo, CRNA

  • Certified Registered Nurse Anesthetist
  • Flagstaff, AZ
National Provider Identifier
1033538533
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1044 Issued in AZ
Practice address
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001
Phone
(928) 773-2505
Fax
(928) 773-2504
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 757093 NY
Certified Registered Nurse Anesthetist 367500000X RNA183044 ME
Certified Registered Nurse Anesthetist 367500000X 101866 AZ
Certified Registered Nurse Anesthetist 367500000X CRNA1044 AZ Primary

Addresses

Primary practice location

77 W Forest Ave
Suite 207
Flagstaff, AZ 86001

Mailing address

77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Phone (928) 773-2505

Other identifiers 1

IdentifierTypeStateIssuer
913908MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address norrillo1394013@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ME, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140707000339 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123243268 Reassigns benefits to 2 organizations
I20200710001014 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123243268 Reassigns benefits to 3 organizations
I20230311000146 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123243268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101866AZMDCertified Registered Nurse Anesthetist
CRNA1044AZMDCertified Registered Nurse Anesthetist
RNA183044MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 3, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Rumford Hospital CurrentSince Mar 12, 2020 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Mar 1, 2021 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Jun 2, 2014 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Rumford Hospital CurrentSince Mar 12, 2020 Accepting new patients
Az Care Anesthesia , PLC CurrentSince Jul 1, 2016 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Mar 1, 2021 Accepting new patients

Locations

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

Interoperability endpoints

  • Direct secure messaging: norrillo945989@direct.unitypoint.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1033538533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 207",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2505",
            "fax_number": "928-773-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 207",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-773-2505",
            "fax_number": "928-773-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRILLO",
        "first_name": "NEINA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "757093",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA183044",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "101866",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913908",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "norrillo1394013@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "93 Campus Ave",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.