MRS. HAILEY A BRACK CRNA
NPI 1104389774
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Q: What is Hailey Brack's NPI number?

The NPI number for Hailey Brack is 1104389774. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Hailey Brack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hailey Brack was last updated on August 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2019Accepts Medicare Assignment

9201 W THOMAS RD, PHOENIX, AZ 85037(623) 327-4000 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2022, Apr 10, 2019 (2 updates tracked since 2019).

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About Mrs. Hailey A Brack Crna NPPES

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

MRS. HAILEY A BRACK CRNA (NPI 1104389774) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (279177) and active in the NPI registry since April 2019. She maintains a secondary practice location in Spokane and is a graduate of University Of Arizona College Of Medicine (2009).

NPPES Registry Identity

NPI1104389774

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. HAILEY A BRACKCredential: CRNA

Location Address9201 W THOMAS RDPhoenix, AZ 85037-3332

Mailing Address4235 N 16th AvePhoenix, AZ 85015-4716 · (928) 446-5664

Phone(623) 327-4000

Sole ProprietorYes

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2009

Enumeration DateApril 10, 2019

Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1104389774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AZ · 279177

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9201 W THOMAS RD, Phoenix, AZ 85037

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Secondary Practice Location 1

Location 1101 W 8th AveSpokane, WA 99204-2307 · Phone (509) 474-3131

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Hailey A Brack Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880078815

PECOS Enrollment IDI20220825000652

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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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.

HENRY ONYIRIMBA MD

Internal Medicine