Active NPI
Ammon Brimhall, RN
- Certified Registered Nurse Anesthetist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 275987
- Practice address
- 1625 N Campbell Ave
Tucson, AZ 85719-4330 - Phone
- (520) 694-0111
- NPI assigned
- Feb 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 193455 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 275987 | AZ | Primary |
Addresses
Primary practice location
1625 N Campbell Ave
Tucson, AZ 85719-4330
Mailing address
4550 E 16TH St
Tucson, AZ 85711-4230
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
- University of Arizona College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10360 E Drexel Rd
Tucson, AZ 85747-9405
Phone (520) 207-2546
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366
Hospital & facility affiliations
- Tucson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.43 of 100
- Quality
- 69.26
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193455 | AZ | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Ias Arizona PLLC | Current | Accepting new patients | |
| Tucson Ambulatory Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1689359747
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1972291235
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 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1902363880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 E 16TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857114230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857194330",
"telephone_number": "520-694-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMHALL",
"first_name": "AMMON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-27",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AZ",
"license": "193455",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "275987",
"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 Apr 28, 2023; 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.