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MATHIAS DARRELL RUPP CRNA
NPI 1164822920
Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Active since August 29, 2014Accepts Medicare Assignment
87.65/100
CMS Quality Rating
77 W FOREST AVE STE 117, FLAGSTAFF, AZ 86001(928) 773-2505(928) 773-2504 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mathias Darrell Rupp Crna NPPES

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

MATHIAS DARRELL RUPP CRNA (NPI 1164822920) is an individual nurse anesthetist, certified registered in Flagstaff, Arizona, licensed in Arizona (CRNA1070) and active in the NPI registry since August 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1164822920
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATHIAS DARRELL RUPPCredential: CRNA
Location Address77 W FOREST AVE STE 117Flagstaff, AZ 86001-1482
Mailing Address77 W Forest Ave Ste 117Flagstaff, AZ 86001-1482 · (928) 773-2505 · Fax (928) 773-2504
Phone(928) 773-2505
Fax(928) 773-2504
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 29, 2014
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1164822920 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 · CRNA1070
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 ListedRegistered NurseTaxonomy 163W00000X · License 256689 (NC)
77 W FOREST AVE STE 117, Flagstaff, AZ 86001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Mathias Darrell Rupp 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 ID2567784556
PECOS Enrollment IDI20141202000902, I20190125001005

Areas of Expertise CMS Part B claims 3

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
175 services128 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
23 services22 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.84

Other Providers at the Same Location NPPES 4

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

JACOB PAYNE SMITH CRNA
Nurse Anesthetist, Certified Registered
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
MICHELLE L CARDON RN
Nurse Anesthetist, Certified Registered
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
FOREST COUNTRY ANESTHESIA, P.C.
Anesthesiology
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
DR. SAMANTHA ANN BUCHIKA MD
Anesthesiology
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505

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 Mathias Rupp's NPI number?

The NPI number for Mathias Rupp is 1164822920. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Where is Mathias Rupp located?

Mathias Rupp practices at 77 W Forest Ave Ste 117, Flagstaff, AZ 86001. The listed phone number is (928) 773-2505.

What is Mathias Rupp's specialty?

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

Is Mathias Rupp enrolled in Medicare?

Yes. Mathias Rupp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mathias Rupp accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Mathias Rupp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mathias Rupp was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.