Individual provider Active NPI

Jeremy Morales Cachola, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1073878724
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
184230 Issued in AZ
Practice address
1823 W Sierra Sunset TRL
Phoenix, AZ 85085-8079
Phone
(623) 444-8241
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 171872-30 WI
Certified Registered Nurse Anesthetist 367500000X 184230 AZ Primary

Addresses

Primary practice location

1823 W Sierra Sunset TRL
Phoenix, AZ 85085-8079

Mailing address

1823 W Sierra Sunset TRL
Phoenix, AZ 85085-8079
Phone (847) 651-4885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150512003123 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143478776 Reassigns benefits to 8 organizations
I20201027002210 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143478776 Reassigns benefits to 2 organizations
I20210315000144 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143478776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians

Practice addresses (Care Compare)

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001384CAMDAdult Health Nurse Practitioner
184230AZMDCertified Registered Nurse Anesthetist
171872-30WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Antigua Anesthesia Management, LLC CurrentSince Apr 1, 2021 Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince Jan 1, 2021 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Deaf Smith County Hospital District CurrentSince Mar 2, 2021 Accepting new patients
Phoenix Neurological Institute, Inc CurrentSince Feb 1, 2022 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Gateway Anesthesia and Pain Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2024 Accepting new patients
Excelle Anesthesia Services, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Deaf Smith County Hospital District CurrentSince Mar 2, 2021 Accepting new patients
Mesa Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2017 Accepting new patients
Dec Anesthesia LLC CurrentSince Mar 1, 2021 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
East Valley Endoscopy LLC PastSince Jun 3, 2016 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations (25 of 36)

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 478-5512

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

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

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

5133 N Central Ave
Ste 100
Phoenix, AZ 85012
Phone (602) 279-0044

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

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

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

815 Ainsworth Dr
Prescott, AZ 86301
Phone (928) 445-2700

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

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

Organizations & group practices 16

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 16

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1073878724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 W SIERRA SUNSET TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858079",
            "telephone_number": "847-651-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 W SIERRA SUNSET TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858079",
            "telephone_number": "623-444-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHOLA",
        "first_name": "JEREMY",
        "middle_name": "MORALES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "171872-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "184230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 1, 2018; 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.