Individual provider Active NPI

Gina Blanchard

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
National Provider Identifier
1285189894
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000464 Issued in CA
Practice address
105 W 8TH Ave
Spokane, WA 99204-2302
Phone
(509) 838-5950
NPI assigned
Aug 24, 2016
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 95000464 CA Primary

Addresses

Primary practice location

105 W 8TH Ave
Spokane, WA 99204-2302

Mailing address

1968 Rogstad Powerline Rd # 218
Blanchard, ID 83804-4924
Phone (208) 610-5712

Other names 1

  • Gina Brantley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161122001861 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234418880 Reassigns benefits to 1 organization
I20220928001363 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234418880 Reassigns benefits to 2 organizations
I20251007001306 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234418880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River City Anesthesia Associates PLLCGroup PAC ID 4385534445, 22 clinicians
Spokane Outpatient Anesthesia PLLCGroup PAC ID 4385010230, 22 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2318
Phone (509) 838-5950

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

217 W Cataldo Ave
Spokane, WA 99201-2217
Phone (509) 624-2356

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.09 of 100Reported as group
Quality
67.04
Promoting interoperability
88
Improvement activities
40
Cost
76.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000464CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Oct 11, 2016 Accepting new patients
Spokane Outpatient Anesthesia PLLC CurrentSince Dec 15, 2023 Accepting new patients
River City Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 11, 2016 Accepting new patients
Spokane Digestive Disease Center, P.S. CurrentSince Aug 1, 2022 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2025 Morse Ave
Sacramento, CA 95825

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

105 W 8th Ave
Spokane, WA 99204
Phone (509) 474-2232

105 W 8th Ave
Ste 6010
Spokane, WA 99204
Phone (509) 838-5950

217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326

Organizations & group practices 5

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 3

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1285189894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 ROGSTAD POWERLINE RD # 218",
            "city": "BLANCHARD",
            "state": "ID",
            "postal_code": "838044924",
            "telephone_number": "208-610-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BRANTLEY",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.