Individual provider Active NPI

Paul W. Brinton, CRNA

  • Certified Registered Nurse Anesthetist
  • Pocatello, ID
National Provider Identifier
1912247297
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-858A Issued in ID
Practice address
777 Hospital Way
Pocatello, ID 83201-5175
Phone
(208) 239-1000
NPI assigned
Feb 22, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA-858A ID Primary
Medical-Surgical Registered Nurse 163WM0705X RNA-858A VA

Addresses

Primary practice location

777 Hospital Way
Pocatello, ID 83201-5175

Mailing address

PO Box 4107
Pocatello, ID 83205-4107
Phone (208) 233-8880

Other identifiers 1

IdentifierTypeStateIssuer
CS20806OtherIDBOARD OF PHARM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NE, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130606000207 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880832633 Reassigns benefits to 1 organization
I20170214001340 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880832633
I20191024000220 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880832633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Idaho PLLCGroup PAC ID 6204283856, 37 clinicians

Practice addresses (Care Compare)

333 N 18TH Ave
Suite C
Pocatello, ID 83201-3358
Phone (208) 234-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RNA-858AVAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital Inc CurrentSince Oct 28, 2019 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2019 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Northstar Anesthesia of Idaho PLLC CurrentSince Dec 7, 2023 Accepting new patients

Locations

333 N 18th Ave
Ste C
Pocatello, ID 83201
Phone (208) 234-7800

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Interoperability endpoints

  • Direct secure messaging: pbrinton2180930@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912247297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4107",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054107",
            "telephone_number": "208-233-8880",
            "fax_number": "208-232-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015175",
            "telephone_number": "208-239-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINTON",
        "first_name": "PAUL",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-858A",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "VA",
            "license": "RNA-858A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARM",
            "identifier": "CS20806",
            "state": "ID"
        }
    ],
    "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 Mar 7, 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.