Individual provider Active NPI

Paul T Beisser III, CRNA

  • Certified Registered Nurse Anesthetist
  • Dubois, WY
National Provider Identifier
1053346593
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
N-31082 Issued in ID
Practice address
1492 Box
Dubois, WY 82513-1492
Phone
(208) 351-2887
NPI assigned
Jul 12, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X N-31082 ID Primary
Anesthesiology Physician 207L00000X 50101 WY

Addresses

Primary practice location

1492 Box
Dubois, WY 82513-1492

Mailing address

P.O. Box 1492
Dubois, WY 82513-1492
Phone (208) 351-2887

Other identifiers 1

IdentifierTypeStateIssuer
806421302MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pbeisser3827509@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220721001765 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840327896 Reassigns benefits to 1 organization
I20250827005203 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840327896

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
George Washington University School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Mt Hwy 91 S
Dillon, MT 59725-7379

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.82 of 100Reported as group
Quality
67.1
Promoting interoperability
98
Improvement activities
40
Cost
73.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
N-31082IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Teton County Hospital District CurrentSince Jul 1, 2022 Accepting new patients
Teton Valley Health Care Inc Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1053346593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1492",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825131492",
            "telephone_number": "208-351-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 BOX",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825131492",
            "telephone_number": "208-351-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISSER",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-31082",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "50101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806421302",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbeisser3827509@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dubois, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.