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

Tyler Krivanek

Individual provider Certified Registered Nurse Anesthetist · NPI 1881469625

Tyler Krivanek is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2023, 3 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.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (602) 839-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Mellon Way, Latrobe, PA 15650-1197 — (360) 609-4116

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 303489 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN201792 (AZ)

Record details

NPI number1881469625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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