Benjamin Guercio, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

N-44886 Issued in ID

Practice address

1224 8TH St
Rupert, ID 83350-1527

Phone

(208) 436-0481

NPI assigned

Jun 10, 2008

Last updated

Jan 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Ambulatory Surgery Center of Burley, LLC

  • Ambulatory Surgical Clinic/Center
  • Burley, ID
  • NPI 1992706840

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Minidoka Memorial Hospital

  • Emergency Care Clinic/Center
  • Rupert, ID
  • NPI 1134333495
  Medicare reassignment
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531
  Medicare reassignment
• Rock Creek Anesthesia Services PLLC

  • Anesthesiology Physician
  • Twin Falls, ID
  • NPI 1790284198
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1972763381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 RIVERSIDE DR",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833185415",
            "telephone_number": "801-300-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501527",
            "telephone_number": "208-436-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERCIO",
        "first_name": "BENJAMIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "51561064406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-44886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Jo Anne Frazier-Shewmaker, LCPC, LMFT, NCC
• Jessica Shirley Gaby, R.D.H.
• Kai Samuel Garner, DPT
• John R Garrard, D.D.S.
• Peggy Goodman, P.T.
• Heather Harper
• Terra J Haynes
• Maria E. Hernandez, P.T.
• Jared Owen Hicken, DO
• Jessica Anne Hillam, AUD

• Certified Registered Nurse Anesthetist in Rupert, ID
• Providers in Rupert, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.