Active NPI
Vincen M Bateman, CRNA
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- N-25978
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (208) 529-6269
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- 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 | N-25978 | ID | Primary |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (866) 570-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-25978 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
| Intermountain Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Anesthesia Services of Jacksonhole, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
1000 State St
McCall, ID 83638
Phone (208) 634-2221
255 W Michigan Ave
Jackson, MI 49201
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba SAMG Anesthesia
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Anesthesiology Physician
- Idaho Falls, ID
- NPI 1558304329
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Anesthesiology
-
- Anesthesiology Physician
- Jackson, WY
- NPI 1831383264
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235168774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "866-570-0077",
"fax_number": "248-479-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "208-529-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "VINCEN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "N-25978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, 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.