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

Nicholas Destefano, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417031253

Nicholas Destefano, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tucson, Arizona. Qualified in 2006, 20 years ago. Practices with Ias Arizona PLLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
20
Licensed in
AZ, NY
In the registry since
2006
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

8500 N Oracle Rd Ste 150
Tucson, AZ 85704-6511
Phone: (520) 462-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1450 Western Ave Ste 102, Albany, NY 12203-3539 — (518) 463-0050

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 300626 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 524397 (NY)

Record details

NPI number1417031253
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ias Arizona Pllc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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