Individual provider Active NPI

Leanne Roman, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1194000885
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0835 Issued in AZ
Practice address
1422 W Colter St
Phoenix, AZ 85013-1971
Phone
(216) 832-5909
NPI assigned
Oct 13, 2011
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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 CRNA0835 AZ Primary
Registered Nurse 163W00000X R1892314 MN
Registered Nurse 163W00000X RN143162 AZ

Addresses

Primary practice location

1422 W Colter St
Phoenix, AZ 85013-1971

Mailing address

1422 W Colter St
Phoenix, AZ 85013-1971
Phone (216) 832-5909

Other practice location 1

8901 E Raintree Dr Ste 100
Scottsdale, AZ 85260-7026
Phone (480) 767-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000113 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426210915 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Valley Gastroenterology Consultants, P.C.Group PAC ID 9436142270, 32 clinicians

Practice addresses (Care Compare)

875 S Dobson Rd
Chandler, AZ 85224-5710
Phone (480) 899-9800

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1892314MNMDRegistered Nurse
CRNA0835AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dec Anesthesia LLC CurrentSince Mar 2, 2013 Accepting new patients
Southeast Valley Gastroenterology Consultants, P.C. CurrentSince Oct 1, 2020 Accepting new patients
District Medical Group, Inc CurrentSince Apr 2, 2012 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 3, 2019 Accepting new patients
Scottsdale Surgical Partners LLC CurrentSince Nov 5, 2018 Accepting new patients
District Medical Group, Inc CurrentSince Apr 2, 2012 Accepting new patients
Southeast Valley Endoscopy Center,LLC PastSince Oct 1, 2020 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

875 S Dobson Rd
Chandler, AZ 85224
Phone (480) 899-9800

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

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

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

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

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

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

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

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

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

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

8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100

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

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1194000885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 W COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131971",
            "telephone_number": "216-832-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131971",
            "telephone_number": "216-832-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 E Raintree Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852607026",
            "country_code": "US",
            "telephone_number": "480-767-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "LEANNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0835",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1892314",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN143162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.