Active NPI
Jordan Bell, CRNA
- Certified Registered Nurse Anesthetist
- Gooding, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1161073
- Practice address
- 267 N Canyon Dr
Gooding, ID 83330-5500 - Phone
- (208) 934-4433
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 1161073 | ID | Primary |
Addresses
Primary practice location
267 N Canyon Dr
Gooding, ID 83330-5500
Mailing address
654 Full Moon Way
Twin Falls, ID 83301-8450
Phone (801) 682-6067
Other practice location 1
426 Park View Loop
Twin Falls, ID 83301-3393
Phone (208) 934-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161073 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients |
Locations
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
Organizations & group practices 4
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
-
- Certified Registered Nurse Anesthetist
- Post Falls, ID
- NPI 1114908993
Nurse Anesthetist, Certified Registered
-
dba North Canyon Family Medicine
- Rural Health Clinic/Center
- Gooding, ID
- NPI 1518377019
-
dba North Canyon Imaging Center Twin Falls
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
Hospital & facility affiliations 4
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
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1669203840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 FULL MOON WAY",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018450",
"telephone_number": "801-682-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-4433"
}
],
"practiceLocations": [
{
"address_1": "426 Park View Loop",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833013393",
"country_code": "US",
"telephone_number": "208-934-4433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELL",
"first_name": "JORDAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "1161073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gooding, ID
- Associates in Family Practice Inc
- Brandi Ann Bartholomew, NP
- BBPT Inc (Body Balance Physical Therapy)
- Monlo Rondon Beck, DPT
- Behavior Strategies
- Bennett Healthcare LLC (Bennett Hills Rehabilitation and Care Center)
- Greg C Boettcher, DO
- Lisa D Boggs, OTRL
- Stephanie Jan Bowles, M.ED,CRC,LPC,NCC
- Marjorie A Brockman, R.N., D.C., C. AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.