Individual provider Active NPI

Amanda Elizabeth Patz, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
National Provider Identifier
1427429240
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
219469 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone
(480) 301-8000
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 209013444 IL
Certified Registered Nurse Anesthetist 367500000X 219469 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Mailing address

22623 N Hance Blvd
Phoenix, AZ 85027-1027
Phone (630) 675-6911

Other practice location 1

1455 N Sandburg Ter
Unit 1607
Chicago, IL 60610-1566
Phone (630) 675-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151109000841 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022328772 Reassigns benefits to 2 organizations
I20190507001150 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022328772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1500 S Dobson Rd
Suite 101
Mesa, AZ 85202-4722
Phone (480) 412-3577

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-5047

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013444ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Apr 18, 2024 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Mar 15, 2019 Accepting new patients
Rockford Health Physicians CurrentSince Apr 18, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 18, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Dec 19, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Dec 19, 2023 Accepting new patients
Mayo Clinic Arizona CurrentSince Nov 18, 2024 Accepting new patients
Mayo Clinic Arizona CurrentSince Nov 18, 2024 Accepting new patients

Locations

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

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

13400 E Shea Blvd
Scottsdale, AZ 85259

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

Organizations & group practices 8

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 4

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1427429240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22623 N HANCE BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271027",
            "telephone_number": "630-675-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 N Sandburg Ter",
            "address_2": "Unit 1607",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101566",
            "country_code": "US",
            "telephone_number": "630-675-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATZ",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209013444",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "219469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.