Intermountain Anesthesia Associates PLLC
NPI 1609413343ActiveOrganization· Nurse Anesthetist, Certified Registered· Lewiston, ID
Nurse Anesthetist, Certified Registered in Lewiston, Idaho, registered in NPPES in December 2019. The authorized official on file is Dustin Elben, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609413343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2019 |
| Last updated in NPPES | Mar 16, 2020 |
| Certified by provider | Mar 16, 2020 |
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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