Fancy Anesthesia Services Inc
NPI 1003055914ActiveOrganization· Nurse Anesthetist, Certified Registered· Show Low, AZ
Nurse Anesthetist, Certified Registered in Show Low, Arizona, registered in NPPES in February 2009. The authorized official on file is Chance Green, CRNA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003055914 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2009 |
| Last updated in NPPES | Feb 17, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RN102790 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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