Individual provider Active NPI

Kevin M Knopp, CRNA

  • Certified Registered Nurse Anesthetist
  • Coeur d'Alene, ID
National Provider Identifier
1114193489
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-880A Issued in ID
Practice address
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone
(208) 625-4000
NPI assigned
May 6, 2008
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA-880A ID Primary

Addresses

Primary practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814

Mailing address

2204 Ironwood PL Ste B
Coeur D Alene, ID 83814-2662
Phone (800) 394-4445

Other identifiers 1

IdentifierTypeStateIssuer
RNA-880AOtherIDIDAHO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CA, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131001000626 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860564978 Reassigns benefits to 7 organizations
I20240117004340 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860564978 Reassigns benefits to 4 organizations
I20240822001478 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860564978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians
Northwest Anesthesia SpecialistsGroup PAC ID 0648711275, 4 clinicians
Anesthesia Management Services of California IncGroup PAC ID 0840626040, 16 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

1624 E Mullan Ave
Post Falls, ID 83854-5326
Phone (208) 770-2000

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

30544 Hwy 200
Suite 201
Ponderay, ID 83852-5005
Phone (208) 265-8194

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001668CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Management Services of California Inc Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Shoshone Medical Center CurrentSince Mar 27, 2024 Accepting new patients
Comfort Anesthesia Associates Inc Anesthesiology CurrentSince Nov 15, 2023 Accepting new patients
Northwest Anesthesia Specialists Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2024 Accepting new patients
Willits Hospital Inc. CurrentSince Sep 29, 2025 Accepting new patients
Knopp Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Shoshone Medical Center CurrentSince Mar 27, 2024 Accepting new patients
Ukiah Adventist Hospital CurrentSince Sep 29, 2025 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Oct 5, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Jun 26, 2025 Accepting new patients
Boundary Community Hospital CurrentSince Jun 26, 2025 Accepting new patients
Anesthesia Associates of Coeur D Alene PLLC Anesthesiology CurrentSince Sep 1, 2013 Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Kaydee Nurse Anesthetist, Certified Registered PastSince Jan 5, 2009 Accepting new patients

Locations

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

245 Hospital Dr
Ukiah, CA 95482
Phone (707) 463-7333

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2204 N Ironwood Pl
Ste B
Coeur D Alene, ID 83814
Phone (208) 765-8585

707 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 625-6400

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

30544 Highway 200
Ste 201
Ponderay, ID 83852
Phone (208) 265-8194

1624 E Mullan Ave
Post Falls, ID 83854
Phone (208) 770-2000

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1114193489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 IRONWOOD PL STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142662",
            "telephone_number": "800-394-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-625-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPP",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-880A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE",
            "identifier": "RNA-880A",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.