Active NPI
Nicholas Massemini, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 336433
- Practice address
- 13677 W McDowell Rd
Goodyear, AZ 85395-2635 - Phone
- (623) 882-1500
- NPI assigned
- Aug 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9615104 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 336433 | AZ | Primary |
| Registered Nurse | 163W00000X | 798456 | NY |
Addresses
Primary practice location
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Mailing address
1801 E Lake Rd Apt 17I
Palm Harbor, FL 34685-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Florida International Univ, College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (800) 402-0881
Hospital & facility affiliations
- Abrazo West Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9615104 | FL | MD | Registered Nurse |
| 798456 | NY | MD | Registered Nurse |
| 336433 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1093690695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E LAKE RD APT 17I",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13677 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952635",
"telephone_number": "623-882-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEMINI",
"first_name": "NICHOLAS",
"credential": "APRN, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-11",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9615104",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "336433",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "798456",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.