Individual provider Active NPI

Scott Christian Phillips, CRNA

  • Certified Registered Nurse Anesthetist
  • Brigham City, UT
National Provider Identifier
1992200141
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-01540 Issued in NM
Practice address
950 S 500 W
Brigham City, UT 84302-4724
Phone
(435) 734-9471
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 CRNA-01540 NM Primary

Addresses

Primary practice location

950 S 500 W
Brigham City, UT 84302-4724

Mailing address

98 S 1150 E
Tremonton, UT 84337-6734
Phone (801) 592-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180423003031 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799048807 Reassigns benefits to 1 organization
I20240216001625 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799048807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham Anesthesia, LLCGroup PAC ID 9335108299, 5 clinicians

Practice addresses (Care Compare)

950 Medical Dr
Brigham City, UT 84302-4724
Phone (435) 734-9471

Hospital & facility affiliations

  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA-01540NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of NM Inc CurrentSince Jan 1, 2020 Accepting new patients
Brigham Anesthesia, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1992200141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 S 1150 E",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843376734",
            "telephone_number": "801-592-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S 500 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024724",
            "telephone_number": "435-734-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SCOTT",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.