Individual provider Active NPI

Trenton James Evans, CRNA

  • Certified Registered Nurse Anesthetist
  • Coeur d'Alene, ID
National Provider Identifier
1922011550
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-517 Issued in ID
Practice address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone
(208) 765-8585
Fax
(208) 765-8486
NPI assigned
Aug 14, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 53373 TX
Certified Registered Nurse Anesthetist 367500000X RNA-517 ID Primary

Addresses

Primary practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Mailing address

212 W Ironwood Dr Ste D287
Coeur D Alene, ID 83814-1403
Phone (208) 765-8585

Other names 1

  • Trent Evans Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130218000358 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991867459 Reassigns benefits to 1 organization
I20190619002535 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991867459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Coeur D Alene PLLCGroup PAC ID 2365427838, 58 clinicians

Practice addresses (Care Compare)

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53373TXMDPharmacotherapy Pharmacist
RNA-517IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince May 24, 2019 Accepting new patients
Anesthesia Associates of Coeur D Alene PLLC Anesthesiology CurrentSince Feb 1, 2013 Accepting new patients
Anesthesia Associates of Boise, P.a. PastSince Jun 17, 1997 Accepting new patients
Helping Hands Chiropractic and Wellness Center Past Accepting new patients
Clinical Partners PA Anesthesiology Past Accepting new patients
Clinical Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Gulf Shore Anesthesia Associates PA Anesthesiology Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1919 Lincoln Way
Ste 415
Coeur D Alene, ID 83814
Phone (208) 625-4595

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

Organizations & group practices 7

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 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1922011550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W IRONWOOD DR STE D287",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141403",
            "telephone_number": "208-765-8585",
            "fax_number": "208-765-8486"
        },
        {
            "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",
            "fax_number": "208-765-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TRENTON",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "53373",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRENT",
            "last_name": "EVANS",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.