Individual provider Active NPI

Joshua Bradford Zack, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
National Provider Identifier
1881250835
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6159 Issued in NC
Practice address
45 N Melrose Ave
Tucson, AZ 85745-2956
Phone
(217) 891-3644
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN194149 AZ
Certified Registered Nurse Anesthetist 367500000X 194149 AZ
Certified Registered Nurse Anesthetist 367500000X 6159 NC Primary

Addresses

Primary practice location

45 N Melrose Ave
Tucson, AZ 85745-2956

Mailing address

45 N Melrose Ave
Tucson, AZ 85745-2956
Phone (217) 891-3644

Other practice location 1

3031 New Bern Ave Ste 200
Raleigh, NC 27610-2989
Phone (919) 747-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191108000923 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557793759 Reassigns benefits to 3 organizations
I20200910000732 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557793759 Reassigns benefits to 2 organizations
I20220504001174 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557793759 Reassigns benefits to 1 organization

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
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score
65.92 of 100Reported as group
Quality
15.88
Promoting interoperability
97
Improvement activities
40
Cost
73.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN194149AZMDRegistered Nurse
6159NCMDOccupational Therapy Assistant
194149AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC CurrentSince Aug 9, 2024 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 18, 2023 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 19, 2022 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 19, 2022 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2022 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Oct 1, 2023 Accepting new patients

Locations

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

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

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

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

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

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

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

2220 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 877-5660

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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.

Hospital & facility affiliations 1

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1881250835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N MELROSE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452956",
            "telephone_number": "217-891-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N MELROSE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452956",
            "telephone_number": "217-891-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 New Bern Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276102989",
            "country_code": "US",
            "telephone_number": "919-747-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACK",
        "first_name": "JOSHUA",
        "middle_name": "BRADFORD",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN194149",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "194149",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6159",
            "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 Jul 16, 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.

Verify at the official NPI Registry.