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

Khislat Azizov, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1013698133

Khislat Azizov, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Danville, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Wellspan Medical Group, a 2,342-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2023
Specialties on file
2
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

100 N Academy Ave
Danville, PA 17822-9800
Phone: (570) 271-6621
Fax: (570) 271-6762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN659034 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN659034 (PA)

Record details

NPI number1013698133
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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