Mathias Darrell Rupp, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flagstaff, AZ

Mathias Darrell Rupp, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagstaff, Arizona. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Southwestern Eye Center, Ltd, Tuba City Regional Health Care Corporation and his current practice location is 77 W Forest Ave Ste 117, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2505.

Mathias Darrell Rupp is licensed to practice in Arizona (license number CRNA1070) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164822920.

Contact Information

Mathias Darrell Rupp, CRNA
77 W Forest Ave Ste 117,
Flagstaff, AZ 86001-1482
(928) 773-2505
(928) 773-2504

Map and Direction




Provider's Profile

Full NameMathias Darrell Rupp
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location77 W Forest Ave Ste 117, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mathias Darrell Rupp graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1164822920
  • Provider Enumeration Date: 08/29/2014
  • Last Update Date: 09/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2567784556
  • Enrollment ID: I20141202000902

Medical Identifiers

Medical identifiers for Mathias Darrell Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164822920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 256689 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA1070 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tuba City Regional Health Care CorporationTuba city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwestern Eye Center, Ltd1850296989102
Tuba City Regional Health Care Corporation4284542531126

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mathias Darrell Rupp allows following entities to bill medicare on his behalf.
Entity NameSouthwestern Eye Center, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063187
PECOS PAC ID: 1850296989
Enrollment ID: O20031203000181
Entity NameBarnet Dulaney Perkins Eye Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349
Entity NameSouthwest Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124649389
PECOS PAC ID: 6305260878
Enrollment ID: O20200717000480

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mathias Darrell Rupp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mathias Darrell Rupp, CRNA
77 W Forest Ave Ste 117,
Flagstaff, AZ 86001-1482

Ph: (928) 773-2505
Mathias Darrell Rupp, CRNA
77 W Forest Ave Ste 117,
Flagstaff, AZ 86001-1482

Ph: (928) 773-2505

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Jack Gilbert Weiss, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
Benjamin Henrie, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Linda Allsop, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
James Dean Bohn, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
Elizabeth Parker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Tara Dupuy Herrero, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1840 N Jasper Dr Ste 1, Flagstaff, AZ 86001
Phone: 928-558-7001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.