SHAD B WESTOVER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1407031180

SHAD B WESTOVER (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. RNA714 (ID). The NPI Number for SHAD B WESTOVER (CRNA) is 1407031180

Main info

Male
19 Years Of Experience
Name
SHAD B WESTOVER (CRNA)
NPI
1407031180
Phone
(208) 552-8572
Address
PO BOX 3816
Enumeration Date
31 December 2007
Last Update Date
28 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084538668
Graduation Year
2007 (19 years ago)
PAC ID
8426131103
Group Practice PAC ID
9133343031
Professional Enrollment ID
I20080219000371
Address ID
ID836056972CA3115XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for SHAD B WESTOVER (CRNA)

  • PO BOX 3816

    IDAHO FALLS, ID 834033816

    Phone: (208) 552-8572

    Fax: (208) 523-2025

    Type: Mailing

  • West Valley Medical Center, 1717, Arlington Avenue, Caldwell, Canyon County, Idaho, 83605-5407, United States

    CALDWELL, ID 836054802

    Phone: (208) 455-4009

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-04-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-14

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
I20080219000371ICertified Registered Nurse Anesthetist (Crna)IDTBD
I20230314000720ICertified Registered Nurse Anesthetist (Crna)ORTBD

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
00142Anesthesia for lens surgery5750$0
00140Anesthesia for other procedure on eye1413$0
View full utilization report →

Insurance plans in this area (ZIP 83403)

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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: 9133343031View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)ID

Reviews

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Frequently asked questions

How is SHAD B WESTOVER (CRNA) identified in CMS data?
CMS-hosted NPPES data lists SHAD B WESTOVER (CRNA) with NPI 1407031180.
Does CMS list SHAD B WESTOVER (CRNA) as active?
Yes — SHAD B WESTOVER (CRNA) is active in the NPI listing used on this page.
What is SHAD B WESTOVER (CRNA) best known for clinically?
Directory data describes SHAD B WESTOVER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is SHAD B WESTOVER (CRNA) based?
SHAD B WESTOVER (CRNA) is tied to Idaho Falls, Idaho in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.