GLENN DANIEL SHUPE CRNA
NPI 1821072455
Nurse Anesthetist, Certified Registered in Phoenix, AZ
About Glenn Daniel Shupe Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN DANIEL SHUPE CRNA (NPI 1821072455) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (RN130186) and active in the NPI registry since December 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenn Daniel Shupe Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Glenn Shupe reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85032
- Reassigned Medicare billing, Arizona enrollment
- 65 clinicians in this Medicare group
Phoenix, AZ 85032
- Reassigned Medicare billing, Arizona enrollment
- 182 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 298 clinicians in this Medicare group
Sun City West, AZ 85375
- Reassigned Medicare billing, Arizona enrollment
- 30 clinicians in this Medicare group
Gilbert, AZ 85297
- Reassigned Medicare billing, Arizona enrollment
- 29 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Arizona enrollment
- 370 clinicians in this Medicare group
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 9
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.
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.
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 Glenn Shupe's NPI number?
The NPI number for Glenn Shupe is 1821072455. It was assigned to this individual provider in the NPPES registry on December 6, 2005.
Where is Glenn Shupe located?
Glenn Shupe practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 301-8000.
What is Glenn Shupe's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Glenn Shupe enrolled in Medicare?
Yes. Glenn Shupe is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Glenn Shupe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Shupe reassigns Medicare benefits to 6 organizations: Summit Anesthesia Partners (Phoenix, AZ), Summit Anesthesia Services PLLC (Phoenix, AZ), Ascend Anesthesia LLC (Mesa, AZ), Novaspine Pain Institute, Plc (Sun City West, AZ), Integrated Anesthesia Consultants Plc (Gilbert, AZ) and 1 more organization, 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 Glenn Shupe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glenn Shupe accept?
Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Glenn Shupe 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 Glenn Shupe was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Glenn Daniel Shupe, CRNA · NPI 1821072455
Nurse Anesthetist, Certified Registered physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since December 6, 2005.
## Identity
- **NPI:** 1821072455 (Entity type: Individual)
- **Enumerated:** December 6, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN130186 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 5777 E MAYO BLVD, Phoenix, AZ 85054-4502
- **Phone:** (480) 301-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Summit Anesthesia Partners (NPI 1568005221, Phoenix, AZ); Summit Anesthesia Services PLLC (NPI 1821589144, Phoenix, AZ); Ascend Anesthesia LLC (NPI 1407642945, Mesa, AZ); Novaspine Pain Institute, Plc (NPI 1154745263, Sun City West, AZ); Integrated Anesthesia Consultants Plc (NPI 1144645656, Gilbert, AZ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2018
- **Other identifiers:** Other 86080015085259A968 (AZ); Medicaid 893158 (AZ); Other P00169405 (AZ); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821072455) · Data from the CMS NPPES public registry.