Melissa Ann Klakulak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

297095 Issued in AZ

Practice address

215 W McLellan Rd
Mesa, AZ 85201-2212

Phone

(928) 287-0793

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arlington Anesthesia Group PLLCGroup PAC ID 2860798303, 35 clinicians

Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037

Merit-based Incentive Payment System (MIPS)

Final score

63.31 of 100Reported as group

Quality

74.88

Improvement activities

0

Cost

73.76

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Arlington Anesthesia Group, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1023483153

  AZ, Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Tempe, AZ
  • NPI 1114744752
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1265218234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MCLELLAN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MCLELLAN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012212",
            "telephone_number": "928-287-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAKULAK",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "297095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Kittling, ANP
• Addison Kitzmiller, DPT
• Lorraine Kjeldsen, RN
• Kelsey Kjellsen, LPC
• Robert Klaehn, MD
• Samantha Klassen, OTR-L
• Dana Michael Klein, D.O.
• Emma Klein, OTR/L
• Kelly Anne Klein, PA-C
• Michael Aaron Klein, MD

• Certified Registered Nurse Anesthetist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.