Individual provider Active NPI

Aaron R Gopp, CRNA

  • Certified Registered Nurse Anesthetist
  • Ontario, OR
National Provider Identifier
1144284423
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200560019CRNA Issued in OR
Practice address
351 SW 9TH St
Ontario, OR 97914
Phone
(541) 881-7140
NPI assigned
Apr 14, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 RNA-585A ID
Certified Registered Nurse Anesthetist 367500000X 200560019CRNA OR Primary

Addresses

Primary practice location

351 SW 9TH St
Ontario, OR 97914

Mailing address

PO Box 2936
Idaho Falls, ID 83403-2936
Phone (208) 552-8773

Other practice location 1

1828 S Millenium Way
Meridian, ID 83642-5036
Phone (208) 381-0262

Other identifiers 3

IdentifierTypeStateIssuer
1144284423MedicaidID
006401012OtherORREGENCE BCBSO
022548MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000671 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709864622 Reassigns benefits to 7 organizations
I20050829000213 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709864622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Gibb AnesthesiaGroup PAC ID 4082124037, 3 clinicians
Access Anesthesia LLCGroup PAC ID 5193019230, 3 clinicians
Treasure Valley Anesthesia PCGroup PAC ID 2365414497, 5 clinicians

Practice addresses (Care Compare)

1828 S Millenium Way
Meridian, ID 83642-5036
Phone (208) 445-2456

3071 E Franklin Rd
Suite 101
Meridian, ID 83642-2390
Phone (208) 498-1700

351 SW 9TH St
Ontario, OR 97914-2639
Phone (877) 225-4762

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNA-585AIDMDCertified Registered Nurse Anesthetist
200560019CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Walter Knox Memorial Hospital Current Accepting new patients
Gibb Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2025 Accepting new patients
Weiser Valley Hospital District CurrentSince Jun 19, 2023 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Weiser Valley Hospital District CurrentSince Jun 19, 2023 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
West Idaho Anesthesia, LLP Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Weiser Valley Hospital District CurrentSince Jul 28, 2025 Accepting new patients
Weiser Valley Hospital District Past Accepting new patients

Locations

900 N Liberty St
Ste 450
Boise, ID 83704
Phone (208) 367-7431

3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

1828 S Millenium Way
Meridian, ID 83642
Phone (208) 381-0262

1828 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 381-0262

3071 E Franklin Rd
Ste 101
Meridian, ID 83642
Phone (208) 288-1400

3630 E Louise Dr
Meridian, ID 83642
Phone (208) 377-9515

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

Organizations & group practices 11

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 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144284423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2936",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032936",
            "telephone_number": "208-552-8773",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-881-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 S Millenium Way",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425036",
            "country_code": "US",
            "telephone_number": "208-381-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPP",
        "first_name": "AARON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-585A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200560019CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144284423",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBSO",
            "identifier": "006401012",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022548",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

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