Active NPI
Ann Loeffler Palenshus, CRNA
- Certified Registered Nurse Anesthetist
- Ridgefield, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30003999
- Practice address
- 17111 NW 69TH Ave
Ridgefield, WA 98642-9030 - Phone
- (360) 989-4077
- NPI assigned
- Aug 30, 2006
- Last updated
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 096006546 | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 245585 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 19775 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | AP30003999 | WA | Primary |
Addresses
Primary practice location
17111 NW 69TH Ave
Ridgefield, WA 98642-9030
Mailing address
17111 NW 69TH Ave
Ridgefield, WA 98642-9030
Phone (360) 989-4077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, AZ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096006546 | OR | MD | Certified Registered Nurse Anesthetist |
| 19775 | SC | MD | Certified Registered Nurse Anesthetist |
| 245585 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services LLC | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Current | Accepting new patients | |
| Southeast Anesthesiology Consultants, PLLC | Current | Accepting new patients | |
| Metrowest Anesthesia Care, PLLC | Past | Accepting new patients | |
| Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
7566 N La Cholla Blvd
Ste B
Tucson, AZ 85741
Phone (520) 547-5845
927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855
118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124
Organizations & group practices 6
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.
-
dba Arizona Anesthesia Solutions
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1336470475
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1932402195
-
- Anesthesiology Physician
- Portland, OR
- NPI 1720387954
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1437215449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1063521235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17111 NW 69TH AVE",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986429030",
"telephone_number": "360-989-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17111 NW 69TH AVE",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986429030",
"telephone_number": "360-989-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALENSHUS",
"first_name": "ANN",
"middle_name": "LOEFFLER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "096006546",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "245585",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "19775",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30003999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.