Brandon Madsen, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Rupert, ID
NPI 1265037741 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1265037741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 79700 (ID)
- Practice address
- 1224 8TH St
Rupert, ID 83350-1599 - Phone
- (208) 436-0481
- Fax
- (208) 436-6038
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell County Hospital District
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY, ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210927003157 | WY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941607378 | Reassigns benefits to 2 organizations |
| I20240909001705 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0941607378 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79700 | ID | MD | Certified Registered Nurse Anesthetist |
| 47281 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current |
Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Minidoka Memorial Hospital | Current |
Accepting new patients | |
| Minidoka Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1224 8th St
Rupert, ID 83350
Phone (208) 434-8236
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6382424-3102 | UT | |
| Certified Registered Nurse Anesthetist | 367500000X | 47281 | WY | |
| Certified Registered Nurse Anesthetist | 367500000X | 79700 | ID | Yes |
Addresses
Primary practice location
1224 8TH St
Rupert, ID 83350-1599
Mailing address
1224 8TH St
Rupert, ID 83350-1599
Phone (208) 436-0481
Other providers in Rupert, ID
- Janet King
- Donald J Konrad
- Elisabeth Erin Lehr
- LHCG Xvii, LLC
- Kyra Littledike
- Magic Valley Family Dental
- Alicia G Malan
- Flor Mancias
- Nicole Manning
- Kristy O'Laughlin Maughan
All providers in Rupert, ID · Certified Registered Nurse Anesthetist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.