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

Tyler James Bagley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1447590401

Tyler James Bagley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in San Tan Valley, Arizona. Qualified in 2012, 14 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
14
Licensed in
AZ, CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

661 W Via De Palmas
San Tan Valley, AZ 85140-7381
Phone: (530) 868-7509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2767 Olive Hwy, Oroville, CA 95966-6118 — (530) 533-8500

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 249724 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95000079 (CA)

Record details

NPI number1447590401
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 27, 2013
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Tan Valley