TATE FAZIO CRNA
NPI 1295505519
Nurse Anesthetist, Certified Registered in Deridder, LA

Active since January 08, 2024Accepts Medicare Assignment
600 S PINE ST, DERIDDER, LA 70634(337) 401-5253 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tate Fazio Crna NPPES

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

TATE FAZIO CRNA (NPI 1295505519) is an individual nurse anesthetist, certified registered in Deridder, Louisiana, licensed in Louisiana (234088) and active in the NPI registry since January 2024. He is affiliated with Beauregard Memorial Hospital and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295505519
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTATE FAZIOCredential: CRNA
Location Address600 S PINE STDeridder, LA 70634-4942
Mailing Address1009 Sherry LnDeridder, LA 70634-8976 · (337) 401-5253
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 7, 2024
NPI 1295505519 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 LA · 234088
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.

600 S PINE ST, Deridder, LA 70634

Accepted 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

Tate Fazio 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 ID1557708849
PECOS Enrollment IDI20240321003937

Hospital Affiliations CMS Care Compare

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

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190050
Location600 S Pine StreetDeridder, LA 70634 · Beauregard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70634 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Home Health
600 S PINE ST
DERIDDER, LA 70634
Emergency Medicine
600 S PINE ST
DERIDDER, LA 70634
General Acute Care Hospital (Rural)
600 S PINE ST
DERIDDER, LA 70634
Emergency Medicine
600 S PINE ST
DERIDDER, LA 70634
Pharmacy (Institutional Pharmacy)
600 S PINE ST
DERIDDER, LA 70634
Obstetrics & Gynecology
600 S PINE ST
DERIDDER, LA 70634
Pediatrics
600 S PINE ST
DERIDDER, LA 70634
Hospitalist
600 S PINE ST
DERIDDER, LA 70634

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 Tate Fazio's NPI number?

The NPI number for Tate Fazio is 1295505519. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Tate Fazio located?

Tate Fazio practices at 600 S Pine St, Deridder, LA 70634. The listed phone number is (337) 401-5253.

What is Tate Fazio's specialty?

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

Is Tate Fazio enrolled in Medicare?

Yes. Tate Fazio 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 Tate Fazio accept?

Health plans from HMO Louisiana list Tate Fazio 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.

Is Tate Fazio affiliated with any hospitals?

According to CMS data, Tate Fazio is affiliated with Beauregard Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tate Fazio was last updated on January 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.