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RIM COUNTRY ANESTHESIA SERVICES PC
NPI 1114110236
Nurse Anesthetist, Certified Registered in Payson, AZ

Active since August 22, 2007
807 S PONDEROSA ST, PAYSON, AZ 85541(602) 273-6770(602) 889-0489 Get Directions Write a Review

NPPES record last updated: January 25, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rim Country Anesthesia Services Pc NPPES

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

RIM COUNTRY ANESTHESIA SERVICES PC (NPI 1114110236) is a healthcare organization registered as a nurse anesthetist, certified registered in Payson, Arizona and active in the NPI registry since August 2007. The organization lists Kirt M Rosenlof, Owner, as its authorized official.

NPPES Registry Identity

NPI1114110236
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameRIM COUNTRY ANESTHESIA SERVICES PC
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing AddressPo Box 29211Phoenix, AZ 85038-9211 · (602) 273-6770 · Fax (602) 889-0489
Phone(602) 273-6770
Fax(602) 889-0489
Organization SubpartNo
Authorized OfficialKirt M RosenlofOwner · (602) 273-6700
Enumeration DateAugust 22, 2007
Last NPPES UpdateJanuary 25, 2008
✔ NPI 1114110236 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
License✔ Licensed in AZ · CRNA0525
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.
807 S PONDEROSA ST, Payson, AZ 85541
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Other Identifiers 1

Medicare PINZ117612AZ

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rim Country Anesthesia Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rim Country Anesthesia Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kirt Rosenlof, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831100536
807 S PONDEROSA ST
Payson, AZ 85541
(602) 273-6770
✔ Accepts MedicareSame address
Mark Wright, MN, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568733137
2200 E SHOW LOW LAKE RD
Show Low, AZ 85901
(512) 925-7978
✔ Accepts Medicare75 mi

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

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 Rim Country Anesthesia Services PC's NPI number?

The NPI number for Rim Country Anesthesia Services PC is 1114110236. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Rim Country Anesthesia Services PC located?

Rim Country Anesthesia Services PC is located at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (602) 273-6770.

What is Rim Country Anesthesia Services PC's specialty?

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

Is Rim Country Anesthesia Services PC enrolled in Medicare?

Yes. Rim Country Anesthesia Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rim Country Anesthesia Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Rim Country Anesthesia Services PC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rim Country Anesthesia Services PC was last updated on January 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.