NPIMap

Individual provider Active NPI

Justin R Fenus, JUSTIN FENUS

  • Certified Registered Nurse Anesthetist
  • Bullhead City, AZ
National Provider Identifier
1912298530
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
29266.1109 Issued in WY
Practice address
2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone
(928) 763-2273
NPI assigned
Apr 30, 2011
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 29266.1109 WY Primary

Addresses

Primary practice location

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924

Mailing address

190 Seminole Dr
Evanston, WY 82930-6600
Phone (801) 367-4997

Other practice location 1

190 Seminole Dr
Evanston, WY 82930-6600
Phone (801) 367-4997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NV, CO, UT, NM, AZ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20110720000342 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234307125 Reassigns benefits to 3 organizations
I20140613001110 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234307125 Reassigns benefits to 1 organization
I20170623002296 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234307125 Reassigns benefits to 2 organizations
I20240813002208 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234307125 Reassigns benefits to 2 organizations
I20250206002634 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234307125 Reassigns benefits to 1 organization
I20250310001914 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234307125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyx AnesthesiaGroup PAC ID 2769801109, 4 clinicians
Antigua Anesthesia Management, LLCGroup PAC ID 3870908676, 39 clinicians
Kane County Human Resource Special Service DistrictGroup PAC ID 5092603316, shared by 8 NPIs, 36 clinicians
Netherlands Anesthesia, LLCGroup PAC ID 8123433588, 41 clinicians

Practice addresses (Care Compare)

1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Phone (702) 346-8040

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

355 N Main St
Kanab, UT 84741-3260
Phone (435) 644-4115

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kane County Human Resource Special Service District Current Accepting new patients
Kane County Human Resource Special Service District CurrentSince Oct 1, 2024 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Kane County Human Resource Special Service District Current Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2019 Accepting new patients
Nyx Anesthesia CurrentSince Aug 27, 2023 Accepting new patients
Kane County Human Resource Special Service District CurrentSince Oct 1, 2024 Accepting new patients
Evanston Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2017 Accepting new patients
Antigua Anesthesia Management, LLC CurrentSince Apr 28, 2025 Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

355 N Main St
Kanab, UT 84741
Phone (435) 644-4100

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

191 Overthrust Rd
Evanston, WY 82930
Phone (307) 789-0096

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1912298530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SEMINOLE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829306600",
            "telephone_number": "801-367-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427924",
            "telephone_number": "928-763-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829306600",
            "country_code": "US",
            "telephone_number": "801-367-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENUS",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "credential": "JUSTIN FENUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "29266.1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.