Active NPI
Jason H Zaugg
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-856A
- Practice address
- 338 E Bannock St
Boise, ID 83712-6207 - Phone
- (208) 336-0895
- NPI assigned
- Nov 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6679291 | UT | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA-856A | ID | Primary |
Addresses
Primary practice location
338 E Bannock St
Boise, ID 83712-6207
Mailing address
338 E Bannock St
Boise, ID 83712-6207
Phone (801) 458-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 State St
McCall, ID 83638-3704
Phone (208) 634-2221
3090 E Gentry Way
Suite 100
Meridian, ID 83642-3548
Phone 208525209018
Hospital & facility affiliations
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6679291 | UT | MD | Registered Nurse |
| RNA-856A | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Anesthesia Pain & Wellness PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients |
Locations
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
1000 State St
McCall, ID 83638
Phone (208) 634-2221
3090 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 288-1600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1962385948
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1295079283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126207",
"telephone_number": "801-458-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126207",
"telephone_number": "208-336-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAUGG",
"first_name": "JASON",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "6679291",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-856A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.