Bryan William Leuenhagen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA538 Issued in ID

Practice address

1055 N Curtis Rd
Boise, ID 83706-1352

Phone

(208) 367-6416

NPI assigned

May 26, 2006

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consulting Partners Idaho PCGroup PAC ID 5092164806, 8 clinicians

West Valley Medical Associates IncGroup PAC ID 9931467289, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anesthesia Consulting Partners Idaho, PC

  • Anesthesiology Physician
  • Caldwell, ID
  • NPI 1568241362

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• West Valley Medical Associates Inc

  dba West Valley Anesthesia Associates

  • Internal Medicine Physician
  • Caldwell, ID
  • NPI 1164936720
  Medicare reassignment Care Compare group NPD
• Boise Anesthesia, P a

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1487602298

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• St Alphonsus Professional Medical Services LLC

  dba SAMG Anesthesia

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1386677524
  Medicare reassignment NPD
• St Alphonsus Professional Medical Services LLC

  dba St Alphonsus Trauma Physician Services

  • Trauma Surgery Physician
  • Boise, ID
  • NPI 1336166883
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Valley Medical Center Inc

  • General Acute Care Hospital
  • Middleton, ID
  • NPI 1609818483
  Care Compare affiliation
• West Valley Medical Center, Inc.

  dba West Valley Medical Center

  • General Acute Care Hospital
  • Caldwell, ID
  • NPI 1891732905
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1649226168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741114",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061352",
            "telephone_number": "208-367-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUENHAGEN",
        "first_name": "BRYAN",
        "middle_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA538",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N31597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806473500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Therese Lester
• Linda Jean Lester, M.S.W.
• Nicole Victoria Letinsky, LMSW
• Jason Lettelleir, CI
• Jennifer Ann Leuck
• Abigail Levario
• Rachel N. Levitch, PHYSICIAN ASSISTANT
• Gregory Lewer, MD
• Amber Lewis, BA, MA
• Andrew William Lewis, DO

• Certified Registered Nurse Anesthetist in Boise, ID
• Providers in Boise, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.