Individual provider Active NPI

Clayton Sanders, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
National Provider Identifier
1225056476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
N-29138 Issued in ID
Practice address
520 S Eagle Rd
Suite 3104
Meridian, ID 83642-6308
Phone
(208) 373-1200
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 N-29138 ID Primary

Addresses

Primary practice location

520 S Eagle Rd
Suite 3104
Meridian, ID 83642-6308

Mailing address

PO Box 2203
Idaho Falls, ID 83403-2203
Phone (208) 525-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000326 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173667276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Anesthesia Pain and Wellness PLLCGroup PAC ID 7214336882, 11 clinicians

Practice addresses (Care Compare)

3090 E Gentry Way
Suite 100
Meridian, ID 83642-3548
Phone 208525209018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N-29138IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 4, 2025 Accepting new patients
Innovative Anesthesia Pain & Wellness PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2025 Accepting new patients
Idaho Eyelid & Facial Plastic Surgery , PLLC PastSince Mar 1, 2000 Accepting new patients

Locations

3090 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 288-1600

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225056476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2203",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032203",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "address_2": "SUITE 3104",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426308",
            "telephone_number": "208-373-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CLAYTON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-29138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.