Individual provider Active NPI

Brooke Tillia, CRNA

  • Certified Registered Nurse Anesthetist
  • Goodyear, AZ
National Provider Identifier
1184339947
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
286040 Issued in AZ
Practice address
13456 Fairway Loop S
Goodyear, AZ 85395-3111
Phone
(623) 986-6306
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 286040 AZ Primary

Addresses

Primary practice location

13456 Fairway Loop S
Goodyear, AZ 85395-3111

Mailing address

PO Box 2017
Litchfield Park, AZ 85340-2017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202001604 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971975814 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Arizona PCGroup PAC ID 8224512090, 28 clinicians
Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (855) 761-0074

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-7102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
286040AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2023 Accepting new patients
Premier Anesthesia of Arizona PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2026 Accepting new patients
Mountain View Headache and Spine Institute PLLC CurrentSince Feb 1, 2023 Accepting new patients
Mountain View Headache and Spine Institute PLLC CurrentSince Feb 1, 2023 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Nurse Anesthetist, Certified Registered CurrentSince May 24, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients

Locations

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

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

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

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

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

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

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

2222 E Highland Ave
Ste 110
Phoenix, AZ 85016
Phone (602) 767-0007

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

4729 E Union Hills Dr
Ste 111
Phoenix, AZ 85050
Phone (602) 482-5444

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 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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1184339947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2017",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13456 FAIRWAY LOOP S",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853953111",
            "telephone_number": "623-986-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLIA",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "286040",
            "primary": true
        }
    ],
    "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 Jan 17, 2023; 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.