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COLLIN SCOTT TIBBITTS RN
NPI 1720862634
Nurse Anesthetist, Certified Registered in San Tan Valley, AZ

Active since August 22, 2023Accepts Medicare Assignment
41274 N CAMBRIA DR, SAN TAN VALLEY, AZ 85140(801) 436-4517 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 26, 2026, Aug 22, 2023 (2 updates tracked since 2023).

About Collin Scott Tibbitts Rn NPPES

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

COLLIN SCOTT TIBBITTS RN (NPI 1720862634) is an individual nurse anesthetist, certified registered in San Tan Valley, Arizona, licensed in Arizona (249773) and active in the NPI registry since August 2023. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1720862634
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCOLLIN SCOTT TIBBITTSCredential: RN
Location Address41274 N CAMBRIA DRSan Tan Valley, AZ 85140-3173
Mailing Address41274 N Cambria DrSan Tan Valley, AZ 85140-3173 · (480) 202-2232
Phone(801) 436-4517
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateAugust 22, 2023
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1720862634 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 · 249773
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 Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 249773 (AZ)
41274 N CAMBRIA DR, San Tan Valley, AZ 85140
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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

Collin Scott Tibbitts Rn 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 ID1456823988
PECOS Enrollment IDI20260616003380

Medicare Billing Reassignment

Medicare enrollment records show Collin Tibbitts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Hospital Based Physicians Arizona LLC
2.9 mi
Multi-Specialty
37000 N GANTZEL RD
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1275889891 (480) 543-2034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85140 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.

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 Collin Tibbitts's NPI number?

The NPI number for Collin Tibbitts is 1720862634. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Collin Tibbitts located?

Collin Tibbitts practices at 41274 N Cambria Dr, San Tan Valley, AZ 85140. The listed phone number is (801) 436-4517.

What is Collin Tibbitts's specialty?

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

Is Collin Tibbitts enrolled in Medicare?

Yes. Collin Tibbitts 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 organization bills Medicare for Collin Tibbitts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Collin Tibbitts reassigns Medicare benefits to Banner Hospital Based Physicians Arizona LLC (San Tan Valley, AZ). The 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 Collin Tibbitts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Collin Tibbitts was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.