Active NPI
Matthew L Monroe, CRNA
- Certified Registered Nurse Anesthetist
- Burley, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 31144
- Practice address
- 1501 Hiland Ave
Burley, ID 83318-2688 - Phone
- (208) 678-4444
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 2, 2026
- 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 | RNA649 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | 31144 | ID | Primary |
Addresses
Primary practice location
1501 Hiland Ave
Burley, ID 83318-2688
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00313841 | Other | RAILROAD MEDICARE | |
| 807414400 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Hiland Ave
Burley, ID 83318-2688
Phone (208) 677-4444
2092 Dawson Dr
Twin Falls, ID 83301-3195
Phone (208) 734-3356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA649 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Anesthesia Services PC | Current | Accepting new patients | |
| Blackfoot Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
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.
-
- Registered Nurse
- Burley, ID
- NPI 1184055097
-
- Certified Registered Nurse Anesthetist
- Twin Falls, ID
- NPI 1073344651
-
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
- NPI 1093826513
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1891877858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182688",
"telephone_number": "208-678-4444"
}
],
"practiceLocations": [
{
"address_1": "98 Poplar St",
"address_purpose": "LOCATION",
"city": "Blackfoot",
"state": "ID",
"postal_code": "832211758",
"country_code": "US",
"telephone_number": "208-785-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONROE",
"first_name": "MATTHEW",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA649",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "31144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00313841",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807414400",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burley, ID
- Mini-Cassia Care Center LLC
- Mini-Cassia Chiropractic & Sports Medicine PLLC
- Mini-Cassia Misdemeanor
- Mobile Drug Screen (Absolute Health Care)
- Monroe Anesthesia Services PC
- Rebecca Rae Morris, CNM WHNP
- Risa G. Mortensen, LPC
- Mountain Medical Physician Specialists of Idaho PC
- Joshua Paul Munns, DPT
- Gilbert Fritz Murdoch, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.