Tyler James Bagley, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · San Tan Valley, AZ
NPI 1447590401 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1447590401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 249724 (AZ)
- Practice address
- 661 W Via de Palmas
San Tan Valley, AZ 85140-7381 - Phone
- (530) 868-7509
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner - University Hospital Based Physicians LLC
Central California Anesthesiology Solutions
Northwest HBP Medical Services LLC
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
- Northwest Medical Center
- Oro Valley Hospital
- Banner - University Medical Center Phoenix
- Watsonville Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 78.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 62.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, AZ, OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000079 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest HBP Medical Services LLC | Current |
Accepting new patients | |
| Lifelinc Anesthesia VI PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Seven Star Hospital Associates Inc. | Current |
Accepting new patients | |
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Seven Star Hospital Associates Inc. | Current |
Accepting new patients | |
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current |
Accepting new patients | |
| Quality Time Anesthesia, PLLC | Current |
Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current |
Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current |
Accepting new patients | |
| Central California Anesthesiology Solutions | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Orohealth Corporation a Non Profit Healthcare System | Nurse Anesthetist, Certified Registered | Current |
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
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
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
7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500
1191 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 436-5265
7075 N Sharon Ave
Fresno, CA 93720
Phone (559) 486-2000
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
#260
Oroville, CA 95966
Phone (530) 532-8544
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95000079 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 249724 | AZ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249724 | Other | AZ | ARIZONA |
Other providers in San Tan Valley, AZ
- Carla Joan Aurandt
- Richard Austin
- Az Freedom Transporation
- Azmed4U
- Laura Babb
- Amy Ball
- Balta Falls, LLC
- Jamie Baker Banfield
- Tammika Banks
- Banner Hospital Based Physicians Arizona LLC
All providers in San Tan Valley, AZ · Certified Registered Nurse Anesthetist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.