Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glenn Daniel Shupe, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1821072455

Glenn Daniel Shupe, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Summit Anesthesia Services PLLC, a 53-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN130186 (AZ)

Record details

NPI number1821072455
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESMay 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Summit Anesthesia Services Pllc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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