Individual provider Active NPI

Daryl W Nichols, CRNA

  • Certified Registered Nurse Anesthetist
  • Gilbert, AZ
National Provider Identifier
1508142167
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0799 Issued in AZ
Practice address
4326 E Orchid LN
Gilbert, AZ 85296-9675
Phone
(480) 202-8285
NPI assigned
Oct 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA0799 AZ Primary

Addresses

Primary practice location

4326 E Orchid LN
Gilbert, AZ 85296-9675

Mailing address

4326 E Orchid LN
Gilbert, AZ 85296-9675
Phone (480) 202-8285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000222 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002072568 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenician AnesthesiaGroup PAC ID 0042741019, 6 clinicians

Practice addresses (Care Compare)

950 N McQueen Rd
Chandler, AZ 85225-8126
Phone (480) 847-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA0799AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Anesthesia Consultants PLC CurrentSince Jan 18, 2015 Accepting new patients
PBS Anesthesia LLC CurrentSince Dec 20, 2022 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2022 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2012 Accepting new patients
Central Arizona Endoscopy LLC Current Accepting new patients
Phoenician Anesthesia CurrentSince Aug 10, 2024 Accepting new patients
Dec Anesthesia LLC CurrentSince Mar 30, 2012 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Mesa Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Central Arizona Endoscopy, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2016 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
East Valley Endoscopy LLC PastSince Jul 1, 2012 Accepting new patients
Arizona Vulva Clinic, PLLC Past Accepting new patients

Locations (25 of 32)

1840 W Chandler Blvd
Ste D2
Chandler, AZ 85224
Phone (480) 745-8577

950 N McQueen Rd
Chandler, AZ 85225
Phone (480) 542-7000

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

6859 E Rembrandt Ave
Ste 114
Mesa, AZ 85212
Phone (480) 766-6819

2158 N Gilbert Rd
Ste 103
Mesa, AZ 85203
Phone (480) 751-3002

6116 E Arbor Ave
Ste 113
Mesa, AZ 85206

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

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

6020 E Arbor Ave
Ste 101
Mesa, AZ 85206
Phone (480) 985-1700

6020 E Arbor Ave
Ste 105
Mesa, AZ 85206
Phone (480) 830-2005

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

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

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1848 E Thomas Rd
Ste 200
Phoenix, AZ 85016
Phone (480) 417-8096

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

36453 N Gantzel Rd
Ste 101
San Tan Vly, AZ 85140
Phone (309) 868-2531

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

8997 E Desert Cove Ave
Scottsdale, AZ 85260

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 and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1508142167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 E ORCHID LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969675",
            "telephone_number": "480-202-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 E ORCHID LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969675",
            "telephone_number": "480-202-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DARYL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.