Individual provider Active NPI

Taylor Steven Tanquary

  • Certified Registered Nurse Anesthetist
  • Newcastle, CA
National Provider Identifier
1184268138
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-59374 Issued in NM
Practice address
8647 Chili Hill Rd
Newcastle, CA 95658-9657
Phone
(530) 559-8658
NPI assigned
Nov 2, 2019
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D181729 IA
Certified Registered Nurse Anesthetist 367500000X CRNA-59374 NM Primary
Registered Nurse 163W00000X 835992 CA

Addresses

Primary practice location

8647 Chili Hill Rd
Newcastle, CA 95658-9657

Mailing address

4520 Montgomery Blvd NE
Ste 6
Albuquerque, NM 87109-1291
Phone (530) 559-8658

Other practice location 1

1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321

Other practice location 2

403 1st St SE
Belmond, IA 50421-1201
Phone (844) 474-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200522000357 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890116123 Reassigns benefits to 2 organizations
I20241220000811 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890116123 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians
Belmond Community HospitalGroup PAC ID 1052201852, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

403 1St St SE
Iowa Specialty Hospital Belmond
Belmond, IA 50421-1201
Phone (641) 444-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
835992CAMDRegistered Nurse
D181729IAMDCertified Registered Nurse Anesthetist
CRNA-59374NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC CurrentSince Jul 16, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jul 16, 2025 Accepting new patients
Cep America - Anesthesia PC Current Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince May 18, 2020 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jan 20, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Jan 20, 2025 Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Mar 27, 2023 Accepting new patients
Belmond Community Hospital Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

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.

Hospital & facility affiliations 2

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": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1184268138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 MONTGOMERY BLVD NE",
            "address_2": "STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091291",
            "telephone_number": "530-559-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8647 CHILI HILL RD",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589657",
            "telephone_number": "530-559-8658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANQUARY",
        "first_name": "TAYLOR",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-02",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D181729",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-59374",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "835992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.