RUSSELL JON WATSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346562113

RUSSELL JON WATSON (CRNA) is a healthcare provider. based in Idaho falls, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 201160057CRNA (OR). The NPI Number for RUSSELL JON WATSON (CRNA) is 1346562113

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL JON WATSON (CRNA)
NPI
1346562113
Phone
(208) 552-8773
Address
PO BOX 2936
Enumeration Date
22 February 2010
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083810262
Graduation Year
2009 (17 years ago)
PAC ID
3678609872
Group Practice PAC ID
2365414497
Professional Enrollment ID
I20150112001470
Address ID
ID836425036ME1828XWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

Provider Addresses for RUSSELL JON WATSON (CRNA)

  • Idaho Falls Post Office, 4th Street, Idaho Falls, Bonneville County, Idaho, 83401, United States

    IDAHO FALLS, ID 834032936

    Phone: (208) 552-8773

    Fax: (208) 523-2025

    Type: Mailing

  • 1828 S Millenium Way

    Meridian, ID 836425036

    Phone: (208) 381-0262

    Type: Location

  • Saint Alphonsus Medical Center, 351, Southwest 9th Street, Ontario, Malheur County, Oregon, 97914, United States

    ONTARIO, OR 979142639

    Phone: (541) 881-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Stryker Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120806000142ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20150112001470ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1313$0
View full utilization report →

Insurance plans in this area (ZIP 83403)

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Provider's Procedures

RUSSELL JON WATSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOR00790Anesthesia for procedure in upper abdomen including use of an endoscope1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365414497View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

How is RUSSELL JON WATSON (CRNA) identified in CMS data?
CMS-hosted NPPES data lists RUSSELL JON WATSON (CRNA) with NPI 1346562113.
Is RUSSELL JON WATSON (CRNA) listed as active for patients and plans?
The listing shows RUSSELL JON WATSON (CRNA) as active in the NPI system.
What is RUSSELL JON WATSON (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for RUSSELL JON WATSON (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for RUSSELL JON WATSON (CRNA)?
RUSSELL JON WATSON (CRNA)'s geographic hint is Idaho Falls, Idaho in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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