Active NPI
Richard D Sepela, CRNA
- Certified Registered Nurse Anesthetist
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA1206
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152517 | Medicaid | AZ | |
| 100512505 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA1206 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amin, Dunckelmeyer and Luu PLLC | Current | Accepting new patients | |
| Red Rock Anesthesia Consultants LLC | Current | Accepting new patients | |
| Flagstaff Pathology Associates | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Summit Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nitai Anesthesia Group PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tri County Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| East Valley Endoscopy LLC | Past | 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 | Past | 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
- 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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1235660002
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
Nurse Anesthetist, Certified Registered
-
dba Battle Born Anesthesia
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1093410045
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1902597768
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1841561347
-
dba Pathology Associates of Northern AZ
- Anatomic Pathology & Clinical Pathology Physician
- Flagstaff, AZ
- NPI 1306205612
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1164414447
-
- Ambulatory Surgical Clinic/Center
- Willow Grove, PA
- NPI 1831139955
-
- Specialist
- Willow Grove, PA
- NPI 1538161591
-
- Specialist
- Easton, PA
- NPI 1952305930
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
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.