Individual provider Active NPI

Andrew M Ewell, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1467749887
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
N42238 Issued in ID
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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 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, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110815000591 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486823176 Reassigns benefits to 8 organizations
I20210601002829 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486823176 Reassigns benefits to 1 organization
I20260209000540 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486823176 Reassigns benefits to 1 organization

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
North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians

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

LicenseStateTypeSpecialty
95001467CAMDFamily Nurse Practitioner
N42238IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Lake Health District CurrentSince Jun 1, 2025 Accepting new patients
Intermountain Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince May 2, 2016 Accepting new patients
Madison Anesthesia Services PA Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Dec 1, 2025 Accepting new patients
Mountain View Hospital LLC CurrentSince Sep 1, 2019 Accepting new patients
Minidoka Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Rock Creek Anesthesia Services PLLC CurrentSince Mar 1, 2024 Accepting new patients
Mayers Memorial Hospital District CurrentSince May 1, 2021 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.