Jared M Allred, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Phoenix, AZ
NPI 1508196320 · NPPES record last updated Dec 17, 2014
Key facts
- NPI
- 1508196320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0653 (AZ)
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5039
- Fax
- (602) 344-0779
- NPI assigned
- Dec 29, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- District Medical Group Inc
Practice addresses (Care Compare)
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520
Hospital & facility affiliations
- Valleywise Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100310000867 | AZ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8628113941 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0653 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current |
Accepting new patients | |
| District Medical Group, Inc | Current |
Accepting new patients | |
| District Medical Group, Inc | Past | Accepting new patients |
Locations
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0653 | AZ | Yes |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490759 | Medicaid | AZ |
Other providers in Phoenix, AZ
- Jon David Allison
- Waridibo Evelyn Allison
- Lauren Allmeyer
- Allone Healthcare LLC
- Allone Home Healthcare LLC
- Sheryl S. Allred
- Allstate Interpreting Services Inc
- Allstate Med Supplies, Inc.
- Allstate Med Trans LLC
- Kristi Allsup
All providers in Phoenix, 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 Dec 17, 2014. 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.