Edwin Bulloch, CRNA
NPI 1922311133ActiveIndividual· Nurse Anesthetist, Certified Registered· Vernal, UT
Nurse Anesthetist, Certified Registered (CRNA) with Ubmc Anesthesiology, practicing in Vernal, Utah. Medicare paid $10,587 for services to 76 patients in 2024. Lists Uintah Basin Medical Center as a hospital affiliation.
Overview
| NPI | 1922311133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jul 16, 2010 |
| Last updated in NPPES | May 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 5419392-4406 | UT |
| Nurse Anesthetist, Certified Registered | 367500000X | AA103013 | ME |
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) (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 84 across 33 procedure codes |
| Paid by Medicare | $10,587 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Ubmc AnesthesiologyRoosevelt, UT · 4 clinicians
Hospital affiliation
- Uintah Basin Medical CenterRoosevelt, UT
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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