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GLENN L TANZMAN CRNA
NPI 1053369173
Nurse Anesthetist, Certified Registered in Providence, RI

Active since May 04, 2006PECOS Enrolled
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903(401) 444-4933(401) 444-5090 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, Jun 17, 2025, Nov 12, 2024 and 2 more (5 updates tracked since 2023).

About Glenn L Tanzman Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN L TANZMAN CRNA (NPI 1053369173) is an individual nurse anesthetist, certified registered in Providence, Rhode Island, licensed in Rhode Island (APRN01174) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1053369173
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGLENN L TANZMANCredential: CRNA
Location Address593 EDDY STREET, DAVOL 129Providence, RI 02903-4923
Mailing AddressOne Virginia Avenue, Suite 201Providence, RI 02905 · (401) 490-0916 · Fax (401) 490-0979
Phone(401) 444-4933
Fax(401) 444-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1053369173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in RI · APRN01174✔ Licensed in MA · RN246965
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
593 EDDY STREET, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658
Location 21 Kettle Point Ave Ste 200East Providence, RI 02914-5375 · Phone (401) 443-4230
Location 3363 Highland AveFall River, MA 02720-3703 · Phone (508) 973-5425
Location 4115 Cass AveWoonsocket, RI 02895-4705 · Phone (850) 985-9180 · Fax (765) 588-1485
Location 555 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3271 · Fax (508) 856-5911

Other Identifiers 2

Other0010803RI · Blue Chip
Other1286RI · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn L Tanzman Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537179593
PECOS Enrollment IDI20060504000645, I20201021001875
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Glenn Tanzman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Narragansett Bay Anesthesia, LLC
8.1 mi
Anesthesiology
455 TOLL GATE RD
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 141 clinicians in this Medicare group
NPI 1861445728 (781) 915-0214
Steward Medical Group, Inc
15 mi
Anesthesiology
795 MIDDLE ST
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 347 clinicians in this Medicare group
NPI 1043711914 (508) 674-5600
Mvp Anesthesia Associates, PC
28 mi
Anesthesiology
800 WASHINGTON ST, ANESTHESIA DEPARTMENT
Norwood, MA 02062
  • Reassigned Medicare billing, Rhode Island enrollment
  • 33 clinicians in this Medicare group
NPI 1477507598 (781) 278-6524
Matrix Anesthesia, PC
29 mi
Anesthesiology
680 CENTRE ST
Brockton, MA 02302
  • Reassigned Medicare billing, Massachusetts enrollment
  • 92 clinicians in this Medicare group
NPI 1700028032 (781) 278-6524
Southcoast Physicians Group, Inc.
29 mi
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1861830143 (855) 319-0518
Clinical Colleagues LLC
688 mi
Anesthesiology
1250 S WASHINGTON ST
Van Wert, OH 45891
  • Reassigned Medicare billing, Rhode Island enrollment
  • 21 clinicians in this Medicare group
NPI 1992725766 (850) 985-9180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
17 services16 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
16 services16 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN F GIRARD CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
PETER W WOLFERSEDER CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
MARIE A MILLS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
BETH VANPRAAG CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
JONATHAN D URI MD
Anesthesiology
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
CHRISTINE MARIE RAMALHO DMD
Dentist (General Practice)
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
Providence County (401) 444-7195
ANGELA THOMAS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
NICOLE BRETING APRN
Nurse Practitioner
593 EDDY STREET, APC 4
PROVIDENCE, RI 02903
Providence County (401) 553-8355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Tanzman's NPI number?

The NPI number for Glenn Tanzman is 1053369173. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Glenn Tanzman located?

Glenn Tanzman practices at 593 Eddy Street Davol 129, Providence, RI 02903. The listed phone number is (401) 444-4933.

What is Glenn Tanzman's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Glenn Tanzman enrolled in Medicare?

Yes. Glenn Tanzman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Glenn Tanzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Tanzman reassigns Medicare benefits to 6 organizations: Narragansett Bay Anesthesia, LLC (Warwick, RI), Steward Medical Group, Inc (Fall River, MA), Mvp Anesthesia Associates, PC (Norwood, MA), Matrix Anesthesia, PC (Brockton, MA), Southcoast Physicians Group, Inc. (Fairhaven, MA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Tanzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Glenn Tanzman affiliated with any hospitals?

According to CMS data, Glenn Tanzman is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Glenn Tanzman was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.