Twin Peaks Acquaviva LLC
NPI 1477419836ActiveOrganization· Nurse Anesthetist, Certified Registered· Flagstaff, AZ
Nurse Anesthetist, Certified Registered in Flagstaff, Arizona, registered in NPPES in December 2025. The authorized official on file is Melissa A. Acquaviva, CRNA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477419836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2025 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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