Individual provider Active NPI

Steven W Beckstrom, CRNA, MAE

  • Certified Registered Nurse Anesthetist
  • Spokane Valley, WA
National Provider Identifier
1316033210
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30002090 Issued in WA
Practice address
12509 E Mission Ave
Ste 101
Spokane Valley, WA 99216-1049
Phone
(509) 928-3600
Fax
(509) 922-7244
NPI assigned
Oct 5, 2006
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP30002090 WA Primary
Certified Registered Nurse Anesthetist 367500000X 54958 ID

Addresses

Primary practice location

12509 E Mission Ave
Ste 101
Spokane Valley, WA 99216-1049

Mailing address

53338 Burnett Rd E
Reardan, WA 99029-8637
Phone (509) 994-8081

Other practice location 1

803 S Main St Ste 310
Moscow, ID 83843-3574
Phone (208) 883-6700

Other practice location 2

700 S Main St
Moscow, ID 83843-3046
Phone (208) 882-4511

Other practice location 3

803 S Main St Ste 310B
Moscow, ID 83843-3574
Phone (208) 882-4511

Other practice location 4

10 Nicholls St
Davenport, WA 99122-9729
Phone (509) 725-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060317000111 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557378411 Reassigns benefits to 2 organizations
I20240919003076 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557378411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Hospital District 3Group PAC ID 3971591199, shared by 5 NPIs, 21 clinicians
Gritman Medical Center IncGroup PAC ID 4981984390, 19 clinicians

Practice addresses (Care Compare)

10 Nicholls St
Davenport, WA 99122-9729

803 S Main St
Suite 310
Moscow, ID 83843-2695
Phone (208) 883-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54958IDMDCertified Registered Nurse Anesthetist
AP30002090WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc Current Accepting new patients
Lincoln County Hospital District #3 CurrentSince Jan 1, 2013 Accepting new patients
Gritman Medical Center Inc. CurrentSince Jan 1, 2025 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Jan 1, 2013 Accepting new patients
Lincoln County Hospital District 3 Current Accepting new patients
Gritman Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Gritman Medical Center Inc CurrentSince Jul 23, 2024 Accepting new patients
Gritman Medical Center Inc Past Accepting new patients
Dr. Daniel W Skinner, P.S. Past Accepting new patients

Locations

803 S Main St
Ste 310
Moscow, ID 83843
Phone (208) 883-6700

803 S Main St
Ste 310B
Moscow, ID 83843
Phone (208) 882-4511

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

Organizations & group practices 9

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1316033210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53338 BURNETT RD E",
            "city": "REARDAN",
            "state": "WA",
            "postal_code": "990298637",
            "telephone_number": "509-994-8081",
            "fax_number": "509-725-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 E MISSION AVE",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161049",
            "telephone_number": "509-928-3600",
            "fax_number": "509-922-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 S Main St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838433574",
            "country_code": "US",
            "telephone_number": "208-883-6700",
            "fax_number": "208-883-9880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838433046",
            "country_code": "US",
            "telephone_number": "208-882-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 S Main St Ste 310B",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838433574",
            "country_code": "US",
            "telephone_number": "208-882-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Nicholls St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "WA",
            "postal_code": "991229729",
            "country_code": "US",
            "telephone_number": "509-725-6560",
            "fax_number": "509-725-1509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKSTROM",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "CRNA, MAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30002090",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "54958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.