Active NPI
Andrew M Ewell, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- N42238
- Practice address
- 338 E Bannock St
Boise, ID 83712-6207 - Phone
- (208) 336-0895
- Fax
- (208) 338-1796
- NPI assigned
- Jul 6, 2011
- Last updated
- Jul 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | N42238 | 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 (208) 336-0895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, CA, OR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001467 | CA | MD | Family Nurse Practitioner |
| N42238 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minidoka Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Health District | Current | Accepting new patients | |
| Intermountain Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Madison Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Minidoka Memorial Hospital | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Rock Creek Anesthesia Services PLLC | Current | Accepting new patients | |
| Mayers Memorial Hospital District | Current | Accepting new patients |
Locations
43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
1224 8th St
Rupert, ID 83350
Phone (208) 434-8236
115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784
1502 Locust St N
Ste 100
Twin Falls, ID 83301
Phone (208) 529-6600
700 S J St
Lakeview, OR 97630
Phone (541) 947-2114
Organizations & group practices 11
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 North Canyon Medical Center
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Anesthesiology Physician
- Idaho Falls, ID
- NPI 1558304329
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rexburg, ID
- NPI 1558392571
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Anesthesiology Physician
- Twin Falls, ID
- NPI 1790284198
-
dba Lake District Hospital
- Critical Access Hospital
- Lakeview, OR
- NPI 1376698522
-
- Critical Access Hospital
- Fall River Mills, CA
- NPI 1912125667
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Emergency Care Clinic/Center
- Rupert, ID
- NPI 1134333495
Nurse Anesthetist, Certified Registered
-
dba North Canyon Imaging Center Twin Falls
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Canyon Medical Center
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1467749887",
"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": "208-336-0895",
"fax_number": "208-338-1796"
},
{
"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",
"fax_number": "208-338-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWELL",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "N42238",
"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 Jul 6, 2011; 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.