Canyon Pain and Wellness PLLC
NPI 1164013900 · Certified Registered Nurse Anesthetist · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Pain and Wellness PLLC is a Certified Registered Nurse Anesthetist organization in Glendale, AZ (NPI 1164013900).
Provider details
- NPI number
- 1164013900
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Antony Waweru, Administrator(602) 325-2020
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Pain Management Registered Nurse163WP0000X
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Other names (DBA / former)
- Former legal business name
- Az Infusion Center PLLC
Additional practice locations (2)
- 18301 N 79th Ave Ste F170Glendale, AZ 85308-6338Phone: (602) 325-2020
- 5948 W Kimberly WayGlendale, AZ 85308-7608Phone: (602) 472-2157
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Canyon Pain and Wellness PLLC's NPI number?
- Canyon Pain and Wellness PLLC's National Provider Identifier (NPI) is 1164013900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Pain and Wellness PLLC?
- Canyon Pain and Wellness PLLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Canyon Pain and Wellness PLLC located?
- Canyon Pain and Wellness PLLC's practice location on file with NPPES is 6120 W Bell Rd Ste 100, Glendale, AZ 85308-3780.
- What is Canyon Pain and Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Pain and Wellness PLLC is (602) 472-2157.
- Does Canyon Pain and Wellness PLLC accept Medicare?
- Canyon Pain and Wellness PLLC 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 Canyon Pain and Wellness PLLC?
- The authorized official listed on Canyon Pain and Wellness PLLC's NPPES record is Antony Waweru, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Pain and Wellness PLLC's NPI active?
- Yes — Canyon Pain and Wellness PLLC's NPI (1164013900) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.