Glenn Daniel Shupe

CRNA | Nurse Anesthetist | 21+ years Exp

5777 E Mayo Blvd, Phoenix
  Arizona, 85054-4502
480-301-8000
Accepts Medicare Nurse Anesthetist in Phoenix, Arizona.
Glenn Daniel Shupe is a Phoenix, Arizona based nurse anesthetist with 21 years of experience as Anesthesia Administration. He completed he graduation in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Glenn Daniel Shupe is RN130186 for Anesthesia Administration in Arizona. his current practice location is 5777 E Mayo Blvd, Phoenix. Patients can reach him at 480-301-8000. Glenn Daniel Shupe is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1821072455.
Glenn Daniel Shupe is a certified 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.

Complete Profile:
Glenn Daniel Shupe speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Experience: 21+ years
Medical School Attended:Other
Graduation Year:2004
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:5777 E Mayo Blvd, Phoenix,
Arizona, 85054-4502
Phone:480-301-8000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9032174446
Enrollment ID: I20041124000787
NPI Number: 1821072455
NPI Enumeration Date: 06 Dec, 2005
NPI Last Update On: 15 May, 2018

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenn Daniel Shupe are as mentioned below.
License NumberSpecializationStateStatus
RN130186Anesthesia Administration ArizonaPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Glenn Daniel Shupe has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Arizona Pain Specialists Pllc (2668536418)32
Elite Anesthesia Llc (6709058845)2
Integrated Anesthesia Consultants Plc (2264664549)5
Other Medical Identifiers:
Other legacy medical identifiers associated with Glenn Daniel Shupe such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
893158MedicaidArizona
86080015085259A968OtherArizonaTRIWEST
86080015085260A111OtherArizonaTRIWEST
P00169405OtherArizonaRAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 5777 E Mayo Blvd,
Phoenix, Arizona
Zip: 85054-4502
Phone Number: 480-301-8000
Fax Number: --
Patients can reach Glenn Daniel Shupe at 5777 E Mayo Blvd, Phoenix, Arizona or can call to book an appointment on 480-301-8000.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.