Individual provider Active NPI

Kelsi Ann Ferguson-Cannon, CRNA

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
National Provider Identifier
1356053524
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
147021 Issued in UT
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 316003 AZ
Certified Registered Nurse Anesthetist 367500000X 147021 UT Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

179 S 300 W
Logan, UT 84321-5138
Phone (435) 764-8741

Other practice location 1

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (154) 126-9811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ, NM, WA, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230227001683 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547633380 Reassigns benefits to 1 organization
I20250313001476 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547633380 Reassigns benefits to 2 organizations
I20251229002940 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547633380 Reassigns benefits to 1 organization
I20260218001766 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547633380 Reassigns benefits to 1 organization
I20260610001140 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547633380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Netherlands Anesthesia, LLCGroup PAC ID 8123433588, 41 clinicians
Northeastern Anesthesia PLLCGroup PAC ID 4284813940, 83 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147021UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Feb 1, 2023 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 15, 2026 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 15, 2026 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2025 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Aug 17, 2025 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Feb 2, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

4951 S White Mountain Rd
Ste B
Show Low, AZ 85901
Phone (928) 537-4375

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Dept LA 25339
Pasadena, CA 91185

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1356053524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 S 300 W",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215138",
            "telephone_number": "435-764-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202125",
            "country_code": "US",
            "telephone_number": "154-126-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON-CANNON",
        "first_name": "KELSI",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "316003",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "147021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.