Individual provider Active NPI

Richard D Sepela, CRNA

  • Certified Registered Nurse Anesthetist
  • Cottonwood, AZ
National Provider Identifier
1467456335
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1206 Issued in AZ
Practice address
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone
(928) 639-6150
Fax
(928) 639-6561
NPI assigned
Jun 9, 2005
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 CRNA1206 AZ Primary
Certified Registered Nurse Anesthetist 367500000X RN332922L PA

Addresses

Primary practice location

269 S Candy LN
Cottonwood, AZ 86326-4158

Mailing address

1200 N Beaver St
Payer Credentialing
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other identifiers 2

IdentifierTypeStateIssuer
152517MedicaidAZ
100512505MedicaidNV

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070803000277 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931094992 Reassigns benefits to 3 organizations
I20160525001101 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931094992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA1206AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Jan 1, 2026 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Jan 1, 2026 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Sep 11, 2021 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Nitai Anesthesia Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
Tri County Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
East Valley Endoscopy LLC PastSince May 13, 2016 Accepting new patients
North Penn Anesthesiology Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Abington Surgical Center, P.C. Past Accepting new patients
Arizona Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered PastSince Feb 2, 2020 Accepting new patients
Abington Surgical Center Past Accepting new patients
Delaware Valley Anesthesia Associates, PC Past Accepting new patients
Middletown Anesthesia Group PC Past Accepting new patients
Anesthesia Associates of Easton, P C Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

1330 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 562-8564

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Interoperability endpoints

  • FHIR API: https://3bf2dd7c-9325-4617-b88b-7053e186ed5b.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 17

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 17

Hospital & facility affiliations 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1467456335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "address_2": "PAYER CREDENTIALING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264158",
            "telephone_number": "928-639-6150",
            "fax_number": "928-639-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPELA",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1206",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN332922L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152517",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512505",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.