LEANNE TAWODA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073585758

LEANNE TAWODA (CRNA) is a healthcare provider. based in Pinetop, Arizona. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN044839 (AZ). The NPI Number for LEANNE TAWODA (CRNA) is 1073585758

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LEANNE TAWODA (CRNA)
NPI
1073585758
Phone
(928) 537-4709
Address
PO BOX 3424
Enumeration Date
6 February 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6027879100
Graduation Year
1996 (30 years ago)
PAC ID
4385608785
Group Practice PAC ID
1850296989
Professional Enrollment ID
I20041116000398
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LEANNE TAWODA (CRNA)

  • Pinetop Post Office, 1572, Spruce Lane, Pinetop, Pinetop-Lakeside, Navajo County, Arizona, 85935, United States

    PINETOP, AZ 859353424

    Phone: (928) 537-4709

    Fax: (928) 537-2466

    Type: Mailing

  • Summit Healthcare Regional Medical Center, 2200, East Show Low Lake Road, Show Low, Navajo County, Arizona, 85901, United States

    SHOW LOW, AZ 859017881

    Phone: (928) 537-4375

    Fax: (928) 537-2466

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041116000398ICertified Registered Nurse Anesthetist (Crna)AZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85935)

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Provider's Procedures

LEANNE TAWODA (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAZ76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3939

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850296989View full group profile
NameSpecialtyState
-AZ
O P T O M E T R YAZ
Certified Registered Nurse Anesthetist (Crna)MT
O P T O M E T R YAZ
O P H T H A L M O L O G YAZ
-AZ
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YAZ
-AZ
-GA

Reviews

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Frequently asked questions

How do payers reference LEANNE TAWODA (CRNA)?
For LEANNE TAWODA (CRNA), use NPI 1073585758 as the unique 10-digit identifier.
Would LEANNE TAWODA (CRNA) appear as active to a payer?
You can treat LEANNE TAWODA (CRNA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LEANNE TAWODA (CRNA)?
LEANNE TAWODA (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is LEANNE TAWODA (CRNA) located near Pinetop?
LEANNE TAWODA (CRNA) currently maps to Pinetop, Arizona in this extract.
Does LEANNE TAWODA (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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