MICHAEL TANNER LIBSACK DO
NPI 1659830974
Anesthesiology in Flagstaff, AZ

Active since March 16, 2019PECOS EnrolledAccepts Medicare Assignment
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 779-3366 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 24, 2025, Jun 19, 2025, Apr 3, 2021 and 1 more (4 updates tracked since 2019).

About Michael Tanner Libsack Do NPPES

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

MICHAEL TANNER LIBSACK DO (NPI 1659830974) is an individual anesthesiology provider in Flagstaff, Arizona, licensed in Arizona (011715) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659830974
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMICHAEL TANNER LIBSACKCredential: DO
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address1200 N Beaver St, Attn: Payer CredentialingFlagstaff, AZ 86001-3118 · (928) 213-6235 · Fax (928) 213-6292
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 16, 2019
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1659830974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in AZ · 011715
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1200 N BEAVER ST, Flagstaff, AZ 86001

Secondary Practice Locations 2

Location 11430 Tulane Ave # 8050New Orleans, LA 70112-2632 · Phone (504) 988-5904 · Fax (504) 988-3971
Location 2200 Mullins DrLebanon, OR 97355-3983 · Phone (602) 708-3662

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

Michael Tanner Libsack Do 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 ID6002216280
PECOS Enrollment IDI20250707003861
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001

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 Michael Libsack's NPI number?

The NPI number for Michael Libsack is 1659830974. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Michael Libsack located?

Michael Libsack practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 779-3366.

What is Michael Libsack's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Libsack enrolled in Medicare?

Yes. Michael Libsack 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 Michael Libsack accept?

Health plans from Blue Cross Blue Shield of Arizona list Michael Libsack 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 Michael Libsack was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.