Collin Scott Tibbitts, RN
NPI 1720862634ActiveIndividual· Nurse Anesthetist, Certified Registered· San Tan Valley, AZ
Nurse Anesthetist, Certified Registered (RN) with Banner Hospital Based Physicians Arizona LLC, practicing in San Tan Valley, Arizona. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Banner Desert Medical Center as a hospital affiliation.
Overview
| NPI | 1720862634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Aug 22, 2023 |
| Last updated in NPPES | May 26, 2026 |
| Certified by provider | May 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 249773 | AZ |
| Registered Nurse, Critical Care Medicine | 163WC0200X | 249773 | AZ |
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 Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AZ) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Banner Hospital Based Physicians Arizona LLCGlendale, AZ · 637 clinicians
Hospital affiliation
- Banner Desert Medical CenterMesa, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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