Individual provider Active NPI

Rebecca Range, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1073790747
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
290671 Issued in AZ
Practice address
6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone
(602) 795-6020
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209-002256 IL
Certified Registered Nurse Anesthetist 367500000X 130864 MO
Certified Registered Nurse Anesthetist 367500000X 209002256 IL
Certified Registered Nurse Anesthetist 367500000X 290671 AZ Primary

Addresses

Primary practice location

6501 N 19TH Ave
Phoenix, AZ 85015-1646

Mailing address

13523 Barrett Parkway Drive
Suite 104
Ballwin, MO 63021-3802
Phone (636) 938-6868

Other practice location 1

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

Other practice location 2

311 West Lincoln
Suite 300
Belleville, IL 62220-1921
Phone (618) 233-7077

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rrange247223@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040924000022 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042288268 Reassigns benefits to 1 organization
I20041025001080 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042288268 Reassigns benefits to 1 organization
I20231128002252 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042288268 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Southern Illinois University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Practice addresses (Care Compare)

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5641

6501 N 19TH Ave
Phoenix, AZ 85015-0907
Phone (480) 420-4027

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290671AZMDCertified Registered Nurse Anesthetist
209-002256ILMDCertified Registered Nurse Anesthetist
209002256ILMDCertified Registered Nurse Anesthetist
130864MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2024 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
SSM Health Care Group CurrentSince Dec 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Dec 1, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jun 22, 2022 Accepting new patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2026 Accepting new patients
Ias Arizona PLLC CurrentSince Oct 15, 2023 Accepting new patients
Midwest Anesthesia Inc. Past Accepting new patients
Mason Ridge Ambulatory Surgery Center LP Past Accepting new patients
Anesthesia Partners, LTD. Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Surgical Anesthesia Services of California 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

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

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

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

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

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 12

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 2

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1073790747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213802",
            "telephone_number": "636-938-6868",
            "fax_number": "636-938-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151646",
            "telephone_number": "602-795-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Elizabeth Blvd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691099",
            "country_code": "US",
            "telephone_number": "618-234-2120",
            "fax_number": "618-541-5810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 West Lincoln",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622201921",
            "country_code": "US",
            "telephone_number": "618-233-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGE",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-002256",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "130864",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209002256",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "290671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrange247223@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1 Saint Elizabeth Blvd",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.