Active NPI
Marina Novack, CRNA
- Anesthesiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 693851
- Practice address
- 5240 E Knight Dr Ste 104
Tucson, AZ 85712-2122 - Phone
- (540) 545-1021
- NPI assigned
- Dec 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 693851 | NY | Primary |
Addresses
Primary practice location
5240 E Knight Dr Ste 104
Tucson, AZ 85712-2122
Mailing address
5240 E Knight Dr Ste 104
Tucson, AZ 85712-2122
Phone (540) 545-1021
Other practice location 1
1450 Western Ave Ste 102
Albany, NY 12203-3539
Phone (518) 463-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366
Hospital & facility affiliations
- Tucson Medical Center
- Banner - University Medical Center Tucson Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Tucson Ambulatory Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ias Arizona PLLC | Anesthesiology | Current | Accepting new patients |
| Banner-University Medical Group | Anesthesiology | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| Southern Arizona Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
2424 N Wyatt Dr
Ste 160
Tucson, AZ 85712
Phone (520) 784-6500
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Anesthesiology
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1689359747
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1912999343
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1972291235
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1932708328
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1649742990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR STE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "540-545-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR STE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "540-545-1021"
}
],
"practiceLocations": [
{
"address_1": "1450 Western Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122033539",
"country_code": "US",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVACK",
"first_name": "MARINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "693851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.