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

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

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