1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

DOUGLAS PRUITT CRNA
NPI 1366493579
Nurse Anesthetist, Certified Registered in Tucson, AZ

Active since May 12, 2006Accepts Medicare Assignment
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 742-9000 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2025, Jan 28, 2023 (2 updates tracked since 2023).

About Douglas Pruitt Crna NPPES

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

DOUGLAS PRUITT CRNA (NPI 1366493579) is an individual nurse anesthetist, certified registered in Tucson, Arizona, licensed in Indiana (28155497A) and active in the NPI registry since May 2006. He is affiliated with Saint Joseph Regional Medical Center, maintains a secondary practice location in Elkhart, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1366493579
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDOUGLAS PRUITTCredential: CRNA
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129
Phone(520) 742-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1366493579 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 IN · 28155497A✔ Licensed in IN · 28162626✔ Licensed in AZ · 326345
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.
6200 N LA CHOLLA BLVD, Tucson, AZ 85741
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 East BlvdElkhart, IN 46514-2483 · Phone (574) 524-8130 · Fax (574) 524-8138

Other Identifiers 1

Medicaid200047710IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, Paramount and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Pruitt 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 ID2961301551
PECOS Enrollment IDI20050131000191, I20251029004208

Medicare Billing Reassignments

15

Medicare enrollment records show Douglas Pruitt reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Hbp Medical Services LLC
Same address
Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group
NPI 1407353006 (520) 229-2657
Southern Arizona Anesthesia Services, PC
5.3 mi
Anesthesiology
3390 N CAMPBELL AVE, STE 110
Tucson, AZ 85719
  • Reassigned Medicare billing, Arizona enrollment
  • 86 clinicians in this Medicare group
NPI 1912999343 (520) 795-7650
Iceland Anesthesia Management, LLC
1,408 mi
Anesthesiology
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 166 clinicians in this Medicare group
NPI 1912578667 (833) 352-0096
Ams Northern Indiana LLC
1,410 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Indiana enrollment
  • 57 clinicians in this Medicare group
NPI 1427619840 (941) 360-1566
Beacon Medical Group, Inc.
1,480 mi
Family Medicine
900 I ST
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1639129117 (219) 324-1700
Cep America - Anesthesia PC
1,496 mi
Anesthesiology
1915 LAKE AVE
Plymouth, IN 46563
  • Reassigned Medicare billing, Indiana enrollment
  • 76 clinicians in this Medicare group
NPI 1750267860 (574) 948-4000
Saint Joseph Regional Medical Center-South Bend Campus, Inc
1,506 mi
Radiology, Mobile Mammography
234 CHAPIN ST STE I
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 216 clinicians in this Medicare group
NPI 1023844693 (574) 274-4552
Community Hospital Of Bremen, Inc.
1,507 mi
Internal Medicine
1020 HIGH ROAD
Bremen, IN 46506
  • Reassigned Medicare billing, Indiana enrollment
  • 12 clinicians in this Medicare group
NPI 1902017080 (574) 546-2211
Allied Physicians Surgery Center, LLC
1,509 mi
Anesthesiology
53990 CARMICHAEL DR
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1669032942 (574) 243-9700
Great Lakes Anesthesia, P.C.
1,521 mi
Anesthesiology
700 E BEARDSLEY AVE STE 209
Elkhart, IN 46514
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Great Lakes Anesthesia PC
  • 60 clinicians in this Medicare group
NPI 1720039977 (574) 522-9922

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 2

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 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.
15 services15 patients
Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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.

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.

ELLEN MARIE KULESA CRNA
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
ALEXIS JIMENEZ DO
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
EMMANUEL ASLAN GALLEGOS
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
DR. DAVID M SCHWARTZ DO
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 469-8011
PAMELA D LOWE APRN, ACNPC-AG
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
ERIC STANLEY CRNA
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
CAMERON TAYLOR FRICKE BSN RN
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000
JULIE TAMAYO DO
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Pima County (520) 742-9000

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 Douglas Pruitt's NPI number?

The NPI number for Douglas Pruitt is 1366493579. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Douglas Pruitt located?

Douglas Pruitt practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 742-9000.

What is Douglas Pruitt's specialty?

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

Is Douglas Pruitt enrolled in Medicare?

Yes. Douglas Pruitt 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.

Which organizations bill Medicare for Douglas Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Pruitt reassigns Medicare benefits to 15 organizations: Northwest Hbp Medical Services LLC (Tucson, AZ), Southern Arizona Anesthesia Services, PC (Tucson, AZ), Iceland Anesthesia Management, LLC (Terre Haute, IN), Ams Northern Indiana LLC (Pensacola, FL), Beacon Medical Group, Inc. (La Porte, IN) and 10 more organizations, 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 Douglas Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Pruitt accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource, Paramount and Priority Health list Douglas Pruitt 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 Douglas Pruitt affiliated with any hospitals?

According to CMS data, Douglas Pruitt is affiliated with Saint Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Pruitt was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.