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
Hospital & facility affiliations 1
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
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6400
Hospital & facility affiliations
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53373 | TX | MD | Pharmacotherapy Pharmacist |
| RNA-517 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Springs Anesthesia Services, PC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Associates of Coeur D Alene PLLC | Anesthesiology | Current |
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 |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Julia Estes
- Luke Estes
- Etros Living, LLC
- Ryan M Ettner
- Christine Evans
- Evenson Chiropractic, LLC
- Evergreen Dermatopathology LLC
- Kayla Everhart
- Excel Heaing Center LLC
- Susan G. Fabrikant
All providers in Coeur D Alene, ID · Certified Registered Nurse Anesthetist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.