Individual provider Active NPI

Heather Gillis, CRNA

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
National Provider Identifier
1316972979
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0341 Issued in AZ
Practice address
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Phone
(719) 365-6999
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1647800 CO
Certified Registered Nurse Anesthetist 367500000X APN.0993130-CRNA CO
Certified Registered Nurse Anesthetist 367500000X CRNA0341 AZ Primary

Addresses

Primary practice location

1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533

Mailing address

12640 S 35TH PL
Phoenix, AZ 85044-3519
Phone (602) 478-9637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051003000784 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264482470 Reassigns benefits to 4 organizations
I20150204001325 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264482470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of Arizona LLCGroup PAC ID 8628317179, 85 clinicians

Practice addresses (Care Compare)

4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1647800COMDRegistered Nurse
APN.0993130-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants, Inc. CurrentSince Mar 25, 2014 Accepting new patients
Chugach Anesthesia, LLC CurrentSince Dec 8, 2014 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Mar 1, 2021 Accepting new patients
Legacy Anesthesia LLC CurrentSince Oct 2, 2024 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2025 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Associates in Anesthesia Past Accepting new patients
Associates in Anesthesia, Inc. PastSince Mar 30, 2026 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

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

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

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

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

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

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

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

750 N 40th St
Phoenix, AZ 85008
Phone (602) 797-7700

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 10

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 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1316972979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 S 35TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443519",
            "telephone_number": "602-478-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST STE 2508",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "HEATHER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1647800",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0993130-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.