GLENN DANIEL SHUPE CRNA NPI 1821072455

NPI Information

  • NPI: 1821072455
  • Provider Name: GLENN DANIEL SHUPE, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 5777 E MAYO BLVD
    PHOENIX, AZ
    ZIP 85054
  • Phone: (480) 301-8000

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NPI Details

Glenn Daniel Shupe, CRNA is a nurse anesthetist certified registered in Phoenix, AZ with 21 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Glenn Daniel Shupe, CRNA NPI is 1821072455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5777 E MAYO BLVD
PHOENIX, AZ
ZIP 85054-502
Phone: (480) 301-8000

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for nerve block and injection procedure, prone position (HCPCS:01992)
  • Anesthesia for nerve block and injection procedure, prone position (HCPCS:01992)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01938)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01940)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS:01937)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01938)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance (HCPCS:01940)
  • Anesthesia for nerve block and injection (HCPCS:01991)
  • Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS:01937)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS:01939)
  • Anesthesia for nerve block and injection (HCPCS:01991)
  • Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS:01939)
  • Anesthesia for closed procedure on pubic bone or pelvic joint (HCPCS:01160)
  • Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg (HCPCS:01250)
  • Anesthesia for other procedure on lower spine (HCPCS:00630)
  • Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance (HCPCS:01942)

The enumeration date for this NPI number is 12/6/2005 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredRN130186ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
186080015085259A968OTHERARIZONATRIWEST
2893158MEDICAIDARIZONA
3P00169405OTHERARIZONARAILROAD MEDICARE
486080015085260A111OTHERARIZONATRIWEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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