Individual provider Active NPI

Daren J Felix, CRNA

  • Certified Registered Nurse Anesthetist
  • Orem, UT
National Provider Identifier
1104920735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0308470-4406 Issued in UT
Practice address
750 W 800 N
Orem, UT 84057-3660
Phone
(800) 748-4868
Fax
(801) 733-5618
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0308470-4406 UT Primary

Addresses

Primary practice location

750 W 800 N
Orem, UT 84057-3660

Mailing address

471 S 1650 E
Springville, UT 84663-2930
Phone (801) 489-6177

Other identifiers 3

IdentifierTypeStateIssuer
TPRA07698OtherUTMOLINA
107012732101OtherUTIHC
QM0000076595OtherUTALTIUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000966 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991739286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Towne Anesthesia LLCGroup PAC ID 3870958176, 8 clinicians

Practice addresses (Care Compare)

96 E Kimballs LN
Draper, UT 84020-5020
Phone (801) 233-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0308470-4406UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Anesthesia LC CurrentSince Dec 15, 2014 Accepting new patients
South Towne Anesthesia LLC CurrentSince Mar 9, 2023 Accepting new patients
Utah Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients

Locations

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

96 E Kimballs Ln
Draper, UT 84020
Phone (801) 233-9300

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524

10150 S Petunia Way
Sandy, UT 84092
Phone (801) 619-9000

1393 E Sego Lily Dr
Ste 3
Sandy, UT 84092
Phone (801) 495-5725

1393 E Sego Lily Dr
Sandy, UT 84092
Phone (801) 495-5725

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104920735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 S 1650 E",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632930",
            "telephone_number": "801-489-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573660",
            "telephone_number": "800-748-4868",
            "fax_number": "801-733-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "DAREN",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "0308470-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "TPRA07698",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107012732101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000076595",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.