Individual provider Active NPI

Angela L Fountain, CRNA

  • Certified Registered Nurse Anesthetist
  • Tempe, AZ
National Provider Identifier
1255776308
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0926 Issued in AZ
Practice address
6433 S Clark Dr
Tempe, AZ 85283-3308
Phone
(480) 414-1295
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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 CRNA0926 AZ Primary

Addresses

Primary practice location

6433 S Clark Dr
Tempe, AZ 85283-3308

Mailing address

6433 S Clark Dr
Tempe, AZ 85283-3308
Phone (480) 414-1295

Other practice location 1

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402002372 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769613827 Reassigns benefits to 10 organizations

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
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians
Summit Anesthesia Services PLLCGroup PAC ID 3971850892, 49 clinicians
Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians

Practice addresses (Care Compare)

3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2657
Phone (888) 724-6236

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000

Hospital & facility affiliations

  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA0926AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Group, PLLC CurrentSince May 6, 2021 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Dec 30, 2013 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2018 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2018 Accepting new patients
Dec Anesthesia LLC CurrentSince Apr 17, 2017 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 5, 2022 Accepting new patients
Amsurg North Valley Anesthesia LLC CurrentSince Aug 15, 2015 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2016 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

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

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

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

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

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

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

1301 S Crismon Rd
#C
Mesa, AZ 85209

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

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

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

15255 N 40th St
Ste 157
Phoenix, AZ 85032
Phone (602) 482-1001

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

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

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

2262 E Rose Garden Ln
Phoenix, AZ 85024
Phone (602) 424-4408

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

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

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

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

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1255776308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 S CLARK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833308",
            "telephone_number": "480-414-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 S CLARK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833308",
            "telephone_number": "480-414-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Las Vegas Blvd N",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916600",
            "country_code": "US",
            "telephone_number": "702-653-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.