Blue Lakes Anesthesia
NPI 1073344651ActiveOrganization· Nurse Anesthetist, Certified Registered· Twin Falls, ID
Nurse Anesthetist, Certified Registered in Twin Falls, Idaho, registered in NPPES in August 2024. The authorized official on file is Thad Hollist, CRNA, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073344651 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2024 |
| Last updated in NPPES | Aug 21, 2024 |
| Certified by provider | Aug 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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All 28 nurse anesthetists in Twin Falls · All nurse anesthetists in Idaho