Active NPI
Benjamin Berzinis, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-871A
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-5170
- Fax
- (208) 367-5180
- NPI assigned
- Jan 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28130758A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 811028 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA-871A | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 7411114
Chicago, IL 60674-1114
Phone (208) 367-5170
Other practice location 1
559 Vincent St Bldg 959
Peterson AFB, CO 80914-1541
Phone (719) 556-9858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000761936 | Other | IN | ANTHEM |
| 201063590 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231013002884 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4183889751 | Reassigns benefits to 2 organizations |
| I20241008002929 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4183889751 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Alphonsus Professional Medical Services LLCAnesthesia Associates of Boise, P.a.
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- St Luke'S Elmore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811028 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
1000 State St
McCall, ID 83638
Phone (208) 634-2221
1351 Fowler St
Ste 330
Richland, WA 99352
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Interoperability endpoints
- bberzinis2853367@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered, WA
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
Hospital
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
Hospital
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1962558064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7411114",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606741114",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
}
],
"practiceLocations": [
{
"address_1": "559 Vincent St Bldg 959",
"address_purpose": "LOCATION",
"city": "Peterson AFB",
"state": "CO",
"postal_code": "809141541",
"country_code": "US",
"telephone_number": "719-556-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERZINIS",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28130758A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "811028",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-871A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000761936",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201063590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.