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

Lie Adi Darmawan, DNP

Individual provider Certified Registered Nurse Anesthetist · NPI 1417845819

Lie Adi Darmawan, DNP is a Certified Registered Nurse Anesthetist (CRNA) in Scottsdale, Arizona. Qualified in 2025, 1 year ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
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 327086 (AZ)

Record details

NPI number1417845819
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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 Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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