Active NPI
Richard J Gerhard, CRNA
- Certified Registered Nurse Anesthetist
- Coeur D Alene, ID
National Provider Identifier
1114980455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA22
- Practice address
- 1705 N Government Way
Coeur D Alene, ID 83814-3444 - Phone
- (208) 765-8585
- Fax
- (208) 765-8486
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA22 | ID | Primary |
Addresses
Primary practice location
1705 N Government Way
Coeur D Alene, ID 83814-3444
Mailing address
3043 N Rampart Rd
Coeur D Alene, ID 83814-7852
Phone (208) 765-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004368400 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004000431 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2769545482 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA22 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Coeur D Alene PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Helping Hands Chiropractic and Wellness Center | Past | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Coeur D Alene, ID
- NPI 1962440966
ID, Nurse Anesthetist, Certified Registered
-
- Primary Care Clinic/Center
- Coeur D Alene, ID
- NPI 1194126003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1114980455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 N RAMPART RD",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838147852",
"telephone_number": "208-765-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 N GOVERNMENT WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143444",
"telephone_number": "208-765-8585",
"fax_number": "208-765-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHARD",
"first_name": "RICHARD",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA22",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004368400",
"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 Sep 28, 2010; 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.