Individual provider Active NPI

Gina S. Kozul

  • Certified Registered Nurse Anesthetist
  • Glendale, AZ
National Provider Identifier
1124513114
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1540 Issued in AZ
Practice address
18555 N 79TH Ave BLDG C
Glendale, AZ 85308-8370
Phone
(623) 776-2500
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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 CRNA1540 AZ Primary

Addresses

Primary practice location

18555 N 79TH Ave BLDG C
Glendale, AZ 85308-8370

Mailing address

7301 N 16TH St Ste 102
Phoenix, AZ 85020-5266
Phone (480) 420-4027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816001764 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951650464 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Southern Illinois University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians
VS Anesthesia Services PLLCGroup PAC ID 5597241794, 9 clinicians
Cac Anesthesia Services PLLCGroup PAC ID 0840739629, 10 clinicians
Vascular and Interventional Partners PLLCGroup PAC ID 9739587775, 25 clinicians
Pca AnesthesiaGroup PAC ID 1658675558, 54 clinicians
Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

10494 W Thunderbird Blvd
Suite 102
Sun City, AZ 85351-6122
Phone (480) 420-4027

10541 W Thunderbird Blvd
Sun City, AZ 85351-3006
Phone (623) 933-3402

10605 N Hayden Rd
Suite G110
Scottsdale, AZ 85260-5505
Phone (480) 425-2160

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-5097

22455 N Miller Rd
Suite B100
Scottsdale, AZ 85255-4956
Phone (480) 435-9100

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone (602) 234-1803

3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2657
Phone (480) 420-4027

6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 795-6020

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dec Anesthesia LLC CurrentSince May 1, 2022 Accepting new patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2025 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Jul 9, 2018 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
VS Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2025 Accepting new patients
Pca Anesthesia CurrentSince Aug 1, 2021 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Cac Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2024 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Asap Anesthesia, LLC CurrentSince Nov 2, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Jun 15, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Jul 9, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Legacy Anesthesia LLC CurrentSince Jun 1, 2020 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
District Medical Group, Inc Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations (25 of 31)

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

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

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

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

18555 N 79th Ave
Bldg C
Glendale, AZ 85308
Phone (623) 776-2500

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

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

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

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

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

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

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

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

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

16620 N 40th St
Ste D1
Phoenix, AZ 85032
Phone (480) 565-7246

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

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

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

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

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

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 4

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1124513114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N 16TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205266",
            "telephone_number": "480-420-4027",
            "fax_number": "602-535-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE BLDG C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-776-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUL",
        "first_name": "GINA",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.