Individual provider Active NPI

Joseph Reyna, CRNA

  • Certified Registered Nurse Anesthetist
  • Ogden, UT
National Provider Identifier
1033654835
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7673816-4406 Issued in UT
Practice address
5475 S 500 E
Ogden, UT 84405-6905
Phone
(801) 479-2468
Fax
(801) 479-2936
NPI assigned
Jan 3, 2017
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA1378 AZ
Certified Registered Nurse Anesthetist 367500000X NUR-APRN-LIC-124537 MT
Certified Registered Nurse Anesthetist 367500000X 7673816-4406 UT Primary

Addresses

Primary practice location

5475 S 500 E
Ogden, UT 84405-6905

Mailing address

2221 Lakeside Blvd Ste 600
Richardson, TX 75082-4416
Phone (469) 505-1652

Other practice location 1

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 222-3541

Other practice location 2

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 222-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, UT, ND, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170303001325 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133403462 Reassigns benefits to 3 organizations
I20240615000003 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133403462 Reassigns benefits to 3 organizations
I20240722000654 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133403462 Reassigns benefits to 2 organizations
I20251231001369 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133403462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Ogden Anesthesia Group LLCGroup PAC ID 4587976436, 13 clinicians
McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians

Practice addresses (Care Compare)

4364 Washington Blvd
Ogden, UT 84403-1866
Phone (801) 479-4470

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA1378AZMDCertified Registered Nurse Anesthetist
NUR-APRN-LIC-124537MTMDCertified Registered Nurse Anesthetist
7673816-4406UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Sep 15, 2025 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Jun 1, 2024 Accepting new patients
Butte Pain and Anesthesia Associates, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Livingston Healthcare CurrentSince May 13, 2018 Accepting new patients
Livingston Healthcare Current Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince May 9, 2024 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 1, 2025 Accepting new patients
NPH Anesthesia of Utah, LLC CurrentSince May 1, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Jun 1, 2024 Accepting new patients
Central Montana Medical Facilities, Inc. CurrentSince Feb 8, 2021 Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince May 9, 2024 Accepting new patients
Central Montana Medical Facilities, Inc. Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 1, 2025 Accepting new patients
McKenzie County Healthcare Systems Inc Current Accepting new patients
CMSC, LLC CurrentSince Mar 1, 2017 Accepting new patients
Ashley Valley Physician Practice, LLC Current Accepting new patients
Mt Ogden Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 24, 2025 Accepting new patients
Livingston Healthcare Urgent Care CurrentSince May 13, 2018 Accepting new patients
Central Montana Medical Facilities, Inc CurrentSince Feb 8, 2021 Accepting new patients
Central Montana Medical Facilities, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

4364 Washington Blvd
South Ogden, UT 84403
Phone (801) 224-6767

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

150 W 100 N
Ste S103
Vernal, UT 84078
Phone (435) 781-1011

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

Organizations & group practices 20

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

View all 20

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1033654835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LAKESIDE BLVD STE 600",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824416",
            "telephone_number": "469-505-1652",
            "fax_number": "469-436-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "801-479-2468",
            "fax_number": "801-479-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-222-3541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-222-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1378",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "NUR-APRN-LIC-124537",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "7673816-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.