Individual provider Active NPI

Daniel Maximillion Bell, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Bountiful, UT
National Provider Identifier
1437747672
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11222365-4406 Issued in UT
Practice address
150 W 1050 S
Bountiful, UT 84010-6321
Phone
(707) 592-1856
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95063097 CA
Registered Nurse 163W00000X 11222365-3102 UT
Certified Registered Nurse Anesthetist 367500000X 11222365-4406 UT Primary

Addresses

Primary practice location

150 W 1050 S
Bountiful, UT 84010-6321

Mailing address

150 W 1050 S
Bountiful, UT 84010-6321
Phone (707) 592-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210317002506 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284040270 Reassigns benefits to 1 organization
I20220624000262 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284040270 Reassigns benefits to 2 organizations

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
Gastroenterology Consultants LTDGroup PAC ID 0941107478, 39 clinicians

Practice addresses (Care Compare)

880 Ryland St
Reno, NV 89502-1603
Phone (775) 329-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95063097CAMDRegistered Nurse
11222365-3102UTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Carson City Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 22, 2023 Accepting new patients
Deseret Peak Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Gastroenterology Consultants, LTD CurrentSince Jul 1, 2022 Accepting new patients

Locations

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

2326 N 400 E
Ste 100
Tooele, UT 84074
Phone (435) 843-0180

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1437747672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 1050 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106321",
            "telephone_number": "707-592-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 1050 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106321",
            "telephone_number": "707-592-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "DANIEL",
        "middle_name": "MAXIMILLION",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95063097",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "11222365-3102",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "11222365-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.