Active NPI
Scott G Spencer, CRNA
- Certified Registered Nurse Anesthetist
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 65561
- Practice address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051 - Phone
- (208) 765-8585
- NPI assigned
- Nov 15, 2016
- Last updated
- Oct 29, 2020
- 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 | AP60699005 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 65561 | ID | Primary |
Addresses
Primary practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Mailing address
PO Box 35145 #40023
Seattle, WA 98124-5145
Phone (425) 407-1500
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, 2016
- 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
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65561 | 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 |
| Anesthesiology Consultants of Treasure Valley PLLC | Current | Accepting new patients | |
| Anesthesia Associates of Coeur D Alene PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Post Falls, ID
- NPI 1114908993
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Coeur d'Alene, ID
- NPI 1962440966
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boise, ID
- NPI 1124066063
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
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": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1861934317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35145 #40023",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245145",
"telephone_number": "425-407-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-765-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SCOTT",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-15",
"last_updated": "2020-10-29",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60699005",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "65561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
- Cierra Heaven Sovenski, LMSW
- Marcus Stephen Sowder
- Spencer C Wirig, DMD, Inc (Lakeview Dental Clinic)
- Spencer D Greendyke MD LLC (RiversEdge Orthopedics)
- Erika Spencer, RN
- Thomas Floyd Spencer, PHARM D
- Alicia Jeannine Spiess, ARNP
- Spokane Foot and Ankle Surgery Center (Coeur D Alene Foot and Ankle Surgery Center)
- Spokane Home Healthcare Inc (Idaho Home Medical Inc)
- Spokane Radiation Oncology Associates P S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.