Active NPI
Patricia Wickham-Monsegur, CRNA
- Certified Registered Nurse Anesthetist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z142132 | Other | AZ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0129 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dec Anesthesia LLC | Current | Accepting new patients | |
| Phoenician Anesthesia | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mesa Az Endoscopy ASC LLC | Current | 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.
-
- Anesthesiology Physician
- Chandler, AZ
- NPI 1427889880
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1093006520
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
AZ, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1770557233
-
- Anesthesiology Physician
- Casa Grande, AZ
- NPI 1073566857
-
- Family Medicine Physician
- Casa Grande, AZ
- NPI 1720236912
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.