Northeastern Anesthesia PLLC
NPI 1487956504 · Certified Registered Nurse Anesthetist · Sierra Vista, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeastern Anesthesia PLLC is a Certified Registered Nurse Anesthetist organization in Sierra Vista, AZ (NPI 1487956504).
Provider details
- NPI number
- 1487956504
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joseph Martin, Owner(559) 289-4574
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Additional practice locations (1)
- 101 Civic Center LnLake Havasu City, AZ 86403-5607Phone: (928) 855-8185Fax: (928) 453-0453
Registry dates
- Enumerated
- 2010-11-22
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Frequently asked questions
- What is Northeastern Anesthesia PLLC's NPI number?
- Northeastern Anesthesia PLLC's National Provider Identifier (NPI) is 1487956504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Anesthesia PLLC?
- Northeastern Anesthesia PLLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northeastern Anesthesia PLLC located?
- Northeastern Anesthesia PLLC's practice location on file with NPPES is 5700 E Highway 90, Sierra Vista, AZ 85635-9110.
- What is Northeastern Anesthesia PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Anesthesia PLLC is (520) 263-3835.
- Does Northeastern Anesthesia PLLC accept Medicare?
- Northeastern Anesthesia 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 Northeastern Anesthesia PLLC?
- The authorized official listed on Northeastern Anesthesia PLLC's NPPES record is Joseph Martin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Anesthesia PLLC's NPI active?
- Yes — Northeastern Anesthesia PLLC's NPI (1487956504) is active in the NPPES registry as of the last update on 2026-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.