Individual provider Active NPI

Paul Wayne, CRNA

  • Certified Registered Nurse Anesthetist
  • Sierra Vista, AZ
National Provider Identifier
1912960865
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA Issued in AZ
Practice address
75 Colonia de Salud Ste 200C
Sierra Vista, AZ 85635-2486
Phone
(520) 226-4338
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60037040 WA
Registered Nurse 163W00000X RN60090792 WA
Certified Registered Nurse Anesthetist 367500000X CRNA AZ Primary

Addresses

Primary practice location

75 Colonia de Salud Ste 200C
Sierra Vista, AZ 85635-2486

Mailing address

77 Calle Portal Ste B260A
Sierra Vista, AZ 85635-2998
Phone (520) 226-4338

Other identifiers 2

IdentifierTypeStateIssuer
9662008MedicaidWA
884282MedicaidAZ

Other names 1

  • Mr. Paul Wayne Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101220000912 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315901949 Reassigns benefits to 1 organization
I20140612000479 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315901949 Reassigns benefits to 4 organizations
Practice locations: Sierra Vista, AZ

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians

Practice addresses (Care Compare)

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 402-1217

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60090792WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Ambulatory Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Professional Anesthesia Services LLC CurrentSince Jul 11, 2025 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2018 Accepting new patients
Ias Arizona PLLC CurrentSince Sep 20, 2023 Accepting new patients
Ecgj Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2018 Accepting new patients
Womens Anesthesia Services of Denver Professional LLC Past Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC PastSince Sep 1, 2005 Accepting new patients
Providence Wa Anesthesia Services, P.C. Past Accepting new patients
Anesthesia Care of Tullahoma, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Neurosurgical Anesthesiologist,PLC Past Accepting new patients
Anesthesia Associates of the Rockies LLC Past Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

2424 N Wyatt Dr
Ste 160
Tucson, AZ 85712
Phone (520) 784-6500

7566 N La Cholla Blvd
Ste B
Tucson, AZ 85741
Phone (520) 547-5845

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

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

5240 E Knight Dr
Ste 104
Tucson, AZ 85712
Phone (520) 795-4202

1035 Wellington Ave
Grand Junction, CO 81501
Phone (970) 242-6600

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1912960865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352998",
            "telephone_number": "520-226-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COLONIA DE SALUD STE 200C",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352486",
            "telephone_number": "520-226-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60037040",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60090792",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9662008",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884282",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "WAYNE",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.