Active NPI
Joshua Bradford Zack, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6159
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
Enrollment records 3
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)
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100
Hospital & facility affiliations
- Northwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.92 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN194149 | AZ | MD | Registered Nurse |
| 6159 | NC | MD | Occupational Therapy Assistant |
| 194149 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | 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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
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.