Individual provider Active NPI

Henry M Adams, CRNA

  • Certified Registered Nurse Anesthetist
  • Blackfoot, ID
National Provider Identifier
1497833537
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA362 Issued in ID
Practice address
1485 Parkway Dr
Blackfoot, ID 83221-1667
Phone
(208) 785-5100
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 RNA362 ID Primary

Addresses

Primary practice location

1485 Parkway Dr
Blackfoot, ID 83221-1667

Mailing address

PO Box 2193
Idaho Falls, ID 83403-2193
Phone (208) 552-8777

Other identifiers 1

IdentifierTypeStateIssuer
1497833537MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000405 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103874433 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3369 Merlin Dr
Suite a
Idaho Falls, ID 83404-7405
Phone (208) 524-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNA362IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackfoot Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Valley View Anesthesia PA CurrentSince Jan 1, 2017 Accepting new patients
Ambulatory Surgery Center of Burley, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Mountain View Hospital LLC CurrentSince Apr 1, 2016 Accepting new patients
Eagle Rock Anesthesia, PLLC Past Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1485 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-5100

1344 Hiland Ave
Ste E
Burley, ID 83318
Phone (208) 677-8688

2025 E 17th St
Idaho Falls, ID 83404
Phone (208) 524-2025

2375 E Sunnyside Rd
Ste B
Idaho Falls, ID 83404
Phone (208) 524-0610

3369 Merlin Dr
#A
Idaho Falls, ID 83404
Phone (208) 524-8351

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

1945 E 17th St
Idaho Falls, ID 83404
Phone (208) 529-1945

285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344

1157 Call Pl
Pocatello, ID 83201
Phone (208) 221-3876

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1497833537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2193",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032193",
            "telephone_number": "208-552-8777",
            "fax_number": "208-523-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "HENRY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497833537",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.