Active NPI
Brandon Madsen, CRNA
- Certified Registered Nurse Anesthetist
- Rupert, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 79700
- Practice address
- 1224 8TH St
Rupert, ID 83350-1599 - Phone
- (208) 436-0481
- Fax
- (208) 436-6038
- NPI assigned
- Dec 2, 2020
- Last updated
- Jun 5, 2025
- 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 3
| 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 | Primary |
Addresses
Primary practice location
1224 8TH St
Rupert, ID 83350-1599
Mailing address
1224 8TH St
Rupert, ID 83350-1599
Phone (208) 436-0481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current | Accepting new patients | |
| Minidoka Memorial Hospital | Current | Accepting new patients | |
| Campbell County Hospital District | 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
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.
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- Clinic/Center
- Gillette, WY
- NPI 1114531118
-
dba Campbell County Medical Group-Anesthesiology
- Anesthesiology Physician
- Gillette, WY
- NPI 1417461914
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
- Emergency Care Clinic/Center
- Rupert, ID
- NPI 1134333495
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1265037741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 8TH ST",
"city": "RUPERT",
"state": "ID",
"postal_code": "833501599",
"telephone_number": "208-436-0481",
"fax_number": "208-436-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 8TH ST",
"city": "RUPERT",
"state": "ID",
"postal_code": "833501599",
"telephone_number": "208-436-0481",
"fax_number": "208-436-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "BRANDON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "6382424-3102",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "47281",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "79700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rupert, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.