Fancy Anesthesia Services Inc
NPI 1003055914 · Certified Registered Nurse Anesthetist · Show Low, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fancy Anesthesia Services Inc is a Certified Registered Nurse Anesthetist organization in Show Low, AZ (NPI 1003055914).
Provider details
- NPI number
- 1003055914
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chance Green, Owner(928) 368-8118
- License
- RN102790 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-17
- Last updated
- 2009-02-17
Frequently asked questions
- What is Fancy Anesthesia Services Inc's NPI number?
- Fancy Anesthesia Services Inc's National Provider Identifier (NPI) is 1003055914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fancy Anesthesia Services Inc?
- Fancy Anesthesia Services Inc is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fancy Anesthesia Services Inc located?
- Fancy Anesthesia Services Inc's practice location on file with NPPES is 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831.
- What is Fancy Anesthesia Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Fancy Anesthesia Services Inc is (928) 368-8118.
- Does Fancy Anesthesia Services Inc accept Medicare?
- Fancy Anesthesia Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fancy Anesthesia Services Inc?
- The authorized official listed on Fancy Anesthesia Services Inc's NPPES record is Chance Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fancy Anesthesia Services Inc's NPI active?
- Yes — Fancy Anesthesia Services Inc's NPI (1003055914) is active in the NPPES registry as of the last update on 2009-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.