Individual provider Active NPI

Scott Allan Jolliffe, CRNA

  • Certified Registered Nurse Anesthetist
  • Prescott, AZ
National Provider Identifier
1174722888
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200960029CRNA Issued in OR
Practice address
5430 Distinction Way
Prescott, AZ 86301-8437
Phone
(928) 445-1919
NPI assigned
Jul 12, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 200960029CRNA OR Primary
Certified Registered Nurse Anesthetist 367500000X CRNA1473 AZ

Addresses

Primary practice location

5430 Distinction Way
Prescott, AZ 86301-8437

Mailing address

1192 N Rusty Nail Rd
Prescott Valley, AZ 86314-1478
Phone (503) 277-0265

Other identifiers 1

IdentifierTypeStateIssuer
917333007MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110927000819 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658463187 Reassigns benefits to 4 organizations
I20180223001918 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658463187 Reassigns benefits to 4 organizations
I20260414002708 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658463187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians
Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

5430 Distinction Way
Prescott, AZ 86301-8437
Phone (480) 420-4027

560 N Switzer Canyon Dr
Flagstaff, AZ 86001-4844
Phone (928) 774-3044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Partners & Management LLC Anesthesiology CurrentSince Dec 15, 2023 Accepting new patients
Metropolitan Anesthesia LLC Anesthesiology CurrentSince Aug 29, 2011 Accepting new patients
Ascend Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Guide Anesthesia Az LLC Anesthesiology CurrentSince Dec 8, 2025 Accepting new patients
Anesthesia Associates Northwest LLC Anesthesiology CurrentSince Mar 23, 2020 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2012 Accepting new patients

Locations

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

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

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

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

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

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

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

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

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

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

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

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

6400 SE Lake Rd
Ste 130
Portland, OR 97222
Phone (503) 594-1774

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1174722888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 N RUSTY NAIL RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141478",
            "telephone_number": "503-277-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 DISTINCTION WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018437",
            "telephone_number": "928-445-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLIFFE",
        "first_name": "SCOTT",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-09-29",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200960029CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917333007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

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

Verify at the official NPI Registry.