Individual provider Active NPI

Patricia Wickham-Monsegur, CRNA

  • Certified Registered Nurse Anesthetist
  • Chandler, AZ
National Provider Identifier
1306934211
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0129 Issued in AZ
Practice address
875 S Dobson Rd
Chandler, AZ 85224-5710
Phone
(480) 899-9800
Fax
(489) 899-2994
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 0129 AZ Primary

Addresses

Primary practice location

875 S Dobson Rd
Chandler, AZ 85224-5710

Mailing address

2435 S Pecan Dr
Chandler, AZ 85286-7407
Phone (602) 478-9111

Other identifiers 1

IdentifierTypeStateIssuer
Z142132OtherAZMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000605 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517949787 Reassigns benefits to 3 organizations
Practice locations: Gilbert, AZ; Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenician AnesthesiaGroup PAC ID 0042741019, 6 clinicians

Practice addresses (Care Compare)

950 N McQueen Rd
Chandler, AZ 85225-8126
Phone (480) 847-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0129AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dec Anesthesia LLC CurrentSince Feb 9, 2021 Accepting new patients
Phoenician Anesthesia CurrentSince Aug 10, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2024 Accepting new patients
Mesa Az Endoscopy ASC LLC CurrentSince Oct 17, 2021 Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
Regional Care Physicians Grooup Past Accepting new patients

Locations

950 N McQueen Rd
Chandler, AZ 85225
Phone (480) 542-7000

2158 N Gilbert Rd
Ste 103
Mesa, AZ 85203
Phone (480) 751-3002

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1306934211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 S PECAN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867407",
            "telephone_number": "602-478-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245710",
            "telephone_number": "480-899-9800",
            "fax_number": "489-899-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM-MONSEGUR",
        "first_name": "PATRICIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "0129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z142132",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.