JOHN SAMUEL POLECHETTI CRNA
NPI 1457389868
Nurse Anesthetist, Certified Registered in Tucson, AZ

Q: What is John Polechetti's NPI number?

The NPI number for John Polechetti is 1457389868. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is John Polechetti'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 John Polechetti was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 28, 2006Accepts Medicare Assignment

2200 S HOUGHTON RD, TUCSON, AZ 85748(520) 742-9000 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Aug 9, 2023, Apr 4, 2022 (3 updates tracked since 2022).

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About John Samuel Polechetti Crna NPPES

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

JOHN SAMUEL POLECHETTI CRNA (NPI 1457389868) is an individual nurse anesthetist, certified registered in Tucson, Arizona, licensed in New York (3315571) and active in the NPI registry since June 2006. He maintains 2 additional practice locations and is a graduate of Other (1994).

NPPES Registry Identity

NPI1457389868

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHN SAMUEL POLECHETTICredential: CRNA

Location Address2200 S HOUGHTON RDTucson, AZ 85748-7632

Mailing Address555 Pine StLockport, NY 14094-5547 · (716) 465-0222

Phone(520) 742-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJune 28, 2006

Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1457389868 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 NY · 3315571

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.

2200 S HOUGHTON RD, Tucson, AZ 85748

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Secondary Practice Locations 2

Location 15846 Snyder DrLockport, NY 14094-9497 · Phone (716) 433-3053 · Fax (716) 433-3118

Location 21408 Sweet Home Rd Ste 9Buffalo, NY 14228-2783 · Phone (716) 243-8377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

John Samuel Polechetti 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 ID9032004320

PECOS Enrollment IDI20120123000651, I20240918000300

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 exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

18 services17 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85748 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.

DR. JONATHAN AURELIO SILVA M.D.

Anesthesiology