Active NPI
Beau S. Daniel, CRNA
- Certified Registered Nurse Anesthetist
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 232645
- Practice address
- 285 Vista Dr
Pocatello, ID 83201-4987 - Phone
- (208) 478-1704
- Fax
- (770) 701-6673
- NPI assigned
- Jan 5, 2010
- Last updated
- Oct 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 232645 | AR | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RNA-936A | ID |
Addresses
Primary practice location
285 Vista Dr
Pocatello, ID 83201-4987
Mailing address
PO Box 3750
Salt Lake City, UT 84110-3750
Phone (800) 880-3566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, KS, AR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (678) 690-7816
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA-936A | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Anesthesia PA | Current | Accepting new patients | |
| Premier Anesthesia of Washington, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Madison Avenue Surgery Center LLC | Past | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Salina, KS
- NPI 1194617043
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Pocatello, ID
- NPI 1588160881
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Anesthesiology Physician
- Pocatello, ID
- NPI 1073857991
-
- Ambulatory Surgical Clinic/Center
- Idaho Falls, ID
- NPI 1225488216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1760712327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3750",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841103750",
"telephone_number": "800-880-3566",
"fax_number": "770-701-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 VISTA DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014987",
"telephone_number": "208-478-1704",
"fax_number": "770-701-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "BEAU",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-05",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "232645",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-936A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.