Individual provider Active NPI

Felicia B Scacewater, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1861514473
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0507 Issued in AZ
Practice address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone
(480) 301-8000
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 CRNA0507 AZ Primary
Certified Registered Nurse Anesthetist 367500000X RN086691 AZ

Addresses

Primary practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Mailing address

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 301-8000

Other identifiers 2

IdentifierTypeStateIssuer
202253MedicaidAZ
P00466238OtherAZRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000427 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941306567 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Anesthesia Services PLLCGroup PAC ID 7012192206, 5 clinicians

Practice addresses (Care Compare)

8573 E Princess Dr
Suite 215
Scottsdale, AZ 85255-7824
Phone (480) 563-5757

8901 E Raintree Dr
Suite 100
Scottsdale, AZ 85260-7026
Phone (480) 676-2100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Anesthesia Services PLLC Anesthesiology CurrentSince Sep 15, 2021 Accepting new patients
Anesthesia Partners & Management LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Phoenix Neurological Institute, Inc Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Scottsdale Surgical Partners LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Pacific Sonoran Anesthesia LLC Anesthesiology CurrentSince Jan 8, 2018 Accepting new patients
Pinnacle Injury Care, LLC PastSince Apr 25, 2021 Accepting new patients
East Valley Endoscopy LLC PastSince Mar 19, 2012 Accepting new patients

Locations

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

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

17505 N 79th Ave
Ste 304E
Glendale, AZ 85308

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

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

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

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

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

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

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

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

8573 E Princess Dr
Ste 215
Scottsdale, AZ 85255
Phone (480) 563-5757

8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100

9815 N 95th St
Scottsdale, AZ 85258
Phone (800) 626-7054

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2000 E Southern Ave
Ste 108
Tempe, AZ 85282
Phone (480) 496-2699

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1861514473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCACEWATER",
        "first_name": "FELICIA",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0507",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN086691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202253",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00466238",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.