Individual provider Active NPI

Tyler James Bagley, CRNA

  • Certified Registered Nurse Anesthetist
  • San Tan Valley, AZ
National Provider Identifier
1447590401
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
249724 Issued in AZ
Practice address
661 W Via de Palmas
San Tan Valley, AZ 85140-7381
Phone
(530) 868-7509
NPI assigned
Feb 27, 2013
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 95000079 CA
Certified Registered Nurse Anesthetist 367500000X 249724 AZ Primary

Addresses

Primary practice location

661 W Via de Palmas
San Tan Valley, AZ 85140-7381

Mailing address

661 W Via de Palmas
San Tan Valley, AZ 85140-7381
Phone (530) 868-7509

Other practice location 1

2767 Olive Hwy
Oroville, CA 95966-6118
Phone (530) 533-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141112002201 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991943847 Reassigns benefits to 4 organizations
I20201216001666 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991943847 Reassigns benefits to 5 organizations
I20240730004421 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991943847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central California Anesthesiology SolutionsGroup PAC ID 7719317213, 21 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

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

1191 E Herndon Ave
Suite 103
Fresno, CA 93720-3164
Phone (916) 292-8938

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249724AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2014 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 1, 2022 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Dec 4, 2020 Accepting new patients
Quality Time Anesthesia, PLLC CurrentSince Jun 2, 2024 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Oct 17, 2024 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 1, 2022 Accepting new patients
Lifelinc Anesthesia VI PC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2023 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 20, 2024 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Clinic Physician Services Co. LLC Past Accepting new patients

Locations

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

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

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

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

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

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

1191 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 436-5265

7075 N Sharon Ave
Fresno, CA 93720
Phone (559) 486-2000

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 14

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.

View all 14

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1447590401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W VIA DE PALMAS",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407381",
            "telephone_number": "530-868-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W VIA DE PALMAS",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407381",
            "telephone_number": "530-868-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2767 Olive Hwy",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "CA",
            "postal_code": "959666118",
            "country_code": "US",
            "telephone_number": "530-533-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000079",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "249724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.