NPIMap

Individual provider Active NPI

Annabelle C Porter, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1316129562
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0552 Issued in AZ
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone
(602) 344-5039
Fax
(602) 344-0779
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 CRNA0552 AZ Primary

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Mailing address

3255 E Elwood St
Phoenix, AZ 85034-7256
Phone (602) 470-5043

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aporter2401287@ehrdirect.mayoclinicmsg.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000924 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436233616 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians
Premier Anesthesia of Arizona PCGroup PAC ID 8224512090, 28 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA0552AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Dec 10, 2024 Accepting new patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2018 Accepting new patients
Mayo Clinic Arizona CurrentSince Dec 10, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Pca Anesthesia CurrentSince Sep 1, 2024 Accepting new patients
Legacy Anesthesia LLC CurrentSince Apr 16, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Dec Anesthesia LLC CurrentSince Jul 19, 2017 Accepting new patients
Arizona Digestive Health, PC PastSince Feb 28, 2011 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

3370 S Mercy Rd
Ste 321
Gilbert, AZ 85297
Phone (480) 550-9393

2223 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 289-5266

2680 S Val Vista Dr
Ste 127
Gilbert, AZ 85295
Phone (480) 253-5656

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

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

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

1850 N 95th Ave
Ste 190
Phoenix, AZ 85037
Phone (523) 594-4060

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

16620 N 40th St
Ste D1
Phoenix, AZ 85032
Phone (480) 565-7246

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

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

9755 N 90th St
Ste A205
Scottsdale, AZ 85258
Phone (480) 614-2215

13400 E Shea Blvd
Scottsdale, AZ 85259

Organizations & group practices 12

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1316129562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 E ELWOOD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347256",
            "telephone_number": "602-470-5043",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5039",
            "fax_number": "602-344-0779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANNABELLE",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aporter2401287@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.