Active NPI
Brooke Tillia, CRNA
- Certified Registered Nurse Anesthetist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 286040
- Practice address
- 13456 Fairway Loop S
Goodyear, AZ 85395-3111 - Phone
- (623) 986-6306
- NPI assigned
- Jan 17, 2023
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
- City of Hope Cancer Center Phoenix
- Banner Boswell Medical Center
- Banner - University Medical Center Phoenix
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 78.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 62.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.31 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286040 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Arizona PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mountain View Headache and Spine Institute PLLC | Current | Accepting new patients | |
| Mountain View Headache and Spine Institute PLLC | Current | Accepting new patients | |
| Ascend Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Arizona - Nogales | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Summit Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Goodyear, AZ
- NPI 1295694610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1356925960
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1306688114
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
-
dba Western Regional Medical Center Retail Pharmacy
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1710138037
Hospital
-
dba City of Hope Cancer Center Arizona
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
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.