Trenton James Evans, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Coeur D Alene, ID

NPI 1922011550 · NPPES record last updated Apr 29, 2024

Key facts

NPI
1922011550
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
RNA-517 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

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 PLLC (58 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Kootenai Health Hospital · Coeur D'Alene, ID · CCN 130049

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in ID, CA

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
53373TXMDPharmacotherapy Pharmacist
RNA-517IDMDCertified Registered Nurse Anesthetist

Practice roles

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 53373 TX
Certified Registered Nurse Anesthetist 367500000X RNA-517 ID Yes

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

  • Trent Evans Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2024.

{
    "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

All providers in Coeur D Alene, ID · Certified Registered Nurse Anesthetist in Idaho

Sources for this page

Verify at the official NPI Registry.