NPIMap

Individual provider Active NPI

Trena Marie Mallory, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
National Provider Identifier
1245668326
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0980 Issued in AZ
Practice address
8424 E Shea Blvd
#101
Scottsdale, AZ 85260-6662
Phone
(480) 478-6620
Fax
(460) 304-3444
NPI assigned
Oct 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 CRNA0980 AZ Primary

Addresses

Primary practice location

8424 E Shea Blvd
#101
Scottsdale, AZ 85260-6662

Mailing address

6170 W Lake Mead Blvd
#461 PMB 2335
Las Vegas, NV 89108-2661
Phone (702) 217-4808

Other names 1

  • Mrs. Trena Marie Rawza Former name

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131211001128 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133356496 Reassigns benefits to 2 organizations
I20230719002716 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133356496 Reassigns benefits to 3 organizations
I20241226001498 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133356496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pca Anesthesia CurrentSince Jun 16, 2022 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 29, 2023 Accepting new patients
Gateway Anesthesia and Pain Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2015 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Jul 1, 2023 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Aug 1, 2023 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 29, 2023 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

4331 E Baseline Rd
Gilbert, AZ 85234

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

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

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

Interoperability endpoints

  • Direct secure messaging: tmallory123623@direct.umcsn.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1245668326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 W LAKE MEAD BLVD",
            "address_2": "#461 PMB 2335",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082661",
            "telephone_number": "702-217-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 E SHEA BLVD",
            "address_2": "#101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606662",
            "telephone_number": "480-478-6620",
            "fax_number": "460-304-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "TRENA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRENA",
            "last_name": "RAWZA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.