Marisa Riddle, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

278016 Issued in AZ

Practice address

18701 N 67TH Ave
Glendale, AZ 85308-7100

Phone

(623) 561-1000

NPI assigned

Mar 12, 2019

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marisa Riddle Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Summit Anesthesia Services PLLCGroup PAC ID 3971850892, 49 clinicians

Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
• Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

Merit-based Incentive Payment System (MIPS)

Final score

63.31 of 100Reported as group

Quality

74.88

Improvement activities

0

Cost

73.76

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ascend Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1407642945

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Summit Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1821589144

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Pinnacle Global Health LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Phoenix, AZ
  • NPI 1114832417
  NPD (past)

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

• Hospital Development of West Phoenix Inc

  dba Abrazo West Campus and Abrazo Maryvale Campus

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1093791170
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 1 Inc

  dba Abrazo Scottsdale Campus

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1326022732
  Care Compare affiliation
• VHS of Arrowhead, Inc

  dba Abrazo Arrowhead Campus

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  dba Abrazo Peoria Emergency Center

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1396203089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W BERRIDGE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152057",
            "telephone_number": "480-209-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "623-561-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "MARISA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "278016",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN181155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisap1@email.arizona.edu",
            "affiliation": "N",
            "endpointDescription": "U of A Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 W 6th Street",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "RIDDLE",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phillip E Richardson, D.P.M.
• Scott Ronald Richardson, MPT
• Shannon Richardson, DPT
• Suzanne Richardson
• Johanna-Marie Richey, DPM
• Spencer M Riddle, PHARM. D.
• Ridelink LLC
• Caroline Grace Rideout
• Journey Rideout
• Ridesource Holdings

• Certified Registered Nurse Anesthetist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.