Individual provider Active NPI

Mark Daniel Noorlander, CRNA

  • Certified Registered Nurse Anesthetist
  • Flagstaff, AZ
National Provider Identifier
1548510019
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
90703 Issued in AZ
Practice address
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Phone
(928) 773-2505
Fax
(928) 773-2504
NPI assigned
Sep 12, 2012
Last updated
Jun 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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 90703 AZ Primary

Addresses

Primary practice location

77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479

Mailing address

77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Phone (928) 773-2505

Other identifiers 1

IdentifierTypeStateIssuer
764113MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000532 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274784178 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians
Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

13660 N 94TH Dr
Suite F1
Peoria, AZ 85381-4232
Phone (480) 687-0919

6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 795-6020

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90703AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Dec 20, 2025 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2025 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Dec 20, 2025 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients
Infused Health LLC PastSince Aug 1, 2022 Accepting new patients

Locations

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

1840 N Jasper Dr
Ste 1
Flagstaff, AZ 86001
Phone (928) 558-7001

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901

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

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

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

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

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

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

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

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1548510019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 207",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 207",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2505",
            "fax_number": "928-773-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORLANDER",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "90703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764113",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.