Active NPI
John Frederick Kycey, CRNA
- Certified Registered Nurse Anesthetist
- Mesa, AZ
National Provider Identifier
1952372328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN065393
- Practice address
- 2434 S Playa
Mesa, AZ 85202-6925 - Phone
- (480) 730-6329
- Fax
- (480) 730-0178
- NPI assigned
- Feb 1, 2006
- Last updated
- Aug 31, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP1931182 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN065393 | AZ | Primary |
Addresses
Primary practice location
2434 S Playa
Mesa, AZ 85202-6925
Mailing address
2434 S Playa
Mesa, AZ 85202-6925
Phone (480) 730-6329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305510800 | Medicaid | FL |
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
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1931182 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squaw Peak Anesthesia Inc | Past | Accepting new patients | |
| Clinical Partners PA | Anesthesiology | Past | Accepting new patients |
| Capital City Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Xenon Heath PC | Anesthesiology | Past | Accepting new patients |
| Integrity Pain and Anesthesia PLLC | Anesthesiology | Past | Accepting new patients |
| Sun Pain Management, PLLC | Past | Accepting new patients | |
| Clinical Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cactus Valley Anesthesia PLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJIBDA
Organizations & group practices 9
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.
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1740610039
-
- Certified Registered Nurse Anesthetist
- Show Low, AZ
- NPI 1639346836
Nurse Anesthetist, Certified Registered
-
dba Integrity Pain and Wellness
- Pain Medicine Physician
- Scottsdale, AZ
- NPI 1386049070
Anesthesiology
-
- Registered Nurse
- Tempe, AZ
- NPI 1134352925
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1427230788
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1346212669
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1518265966
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1346506672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1952372328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 S PLAYA",
"city": "MESA",
"state": "AZ",
"postal_code": "852026925",
"telephone_number": "480-730-6329",
"fax_number": "480-730-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 S PLAYA",
"city": "MESA",
"state": "AZ",
"postal_code": "852026925",
"telephone_number": "480-730-6329",
"fax_number": "480-730-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYCEY",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP1931182",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "RN065393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305510800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.