Gary Don Bevan, CRNA
NPI 1174579742ActiveIndividual· Nurse Anesthetist, Certified Registered· Boise, ID
Nurse Anesthetist, Certified Registered (CRNA) in Boise, Idaho, trained at Mayo Medical School (class of 2004). Medicare paid $33,954 for services to 172 patients in 2024.
Overview
| NPI | 1174579742 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Apr 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RNA588 | ID |
| Registered Nurse | 163W00000X | N32936 | ID |
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 Practitioner - Certified Registered Nurse Anesthetist (CRNA) (ID); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 223 across 45 procedure codes |
| Paid by Medicare | $33,954 |
Education and affiliations
| Medical school | Mayo Medical School |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Medstream Anesthesia PLLCOttumwa, IA · 573 clinicians
- Tri-State Memorial HospitalClarkston, WA · 35 clinicians
Hospital affiliations
- St Joseph Regional Medical CenterLewiston, ID
- Tri-State Memorial HospitalClarkston, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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