Individual provider Active NPI

Kelly K. Gappa, CRNA

  • Certified Registered Nurse Anesthetist
  • Flagstaff, AZ
National Provider Identifier
1861419756
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0378 Issued in AZ
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 779-3366
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA133024 ME
Certified Registered Nurse Anesthetist 367500000X CRNA0378 AZ Primary

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other practice location 1

489 State St
Bangor, ME 04401-6616
Phone (207) 992-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060103000154 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638191810 Reassigns benefits to 5 organizations
I20220901002734 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638191810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3261

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 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA0378AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Pathology Associates Current Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Aug 1, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center LTD CurrentSince Aug 1, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2019 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 23, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2019 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2017 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 23, 2022 Accepting new patients
Dec Anesthesia LLC PastSince Oct 1, 2020 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Clinical Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations (25 of 38)

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

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

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

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

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

1919 Florence Ave
Kingman, AZ 86401
Phone (520) 753-5454

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

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

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

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

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

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

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

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

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2242 W 16th St
Safford, AZ 85546
Phone (928) 428-0068

Organizations & group practices 16

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 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1861419756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "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": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-779-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-992-4032",
            "fax_number": "207-992-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAPPA",
        "first_name": "KELLY",
        "middle_name": "K.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA133024",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0378",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 9, 2020; 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.