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

Mathias Darrell Rupp, CRNA

Individual provider Registered Nurse · NPI 1164822920

Mathias Darrell Rupp, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Flagstaff, Arizona. Qualified in 2014, 12 years ago. Practices with Tuba City Regional Health Care Corporation, a 162-clinician group and accepts Medicare assignment. Licensed in Arizona and North Carolina.

Years since qualifying
12
Licensed in
AZ, NC
In the registry since
2014
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

77 W Forest Ave Ste 117
Flagstaff, AZ 86001-1482
Phone: (928) 773-2505
Fax: (928) 773-2504
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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 CRNA1070 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 256689 (NC)

Record details

NPI number1164822920
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESSeptember 24, 2018
Mailing address77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tuba City Regional Health Care Corporation — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Flagstaff