WAYNE R NORDICK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508067364

WAYNE R NORDICK (CRNA) is a healthcare provider. based in Boise, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 17424 (ID). The NPI Number for WAYNE R NORDICK (CRNA) is 1508067364

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
WAYNE R NORDICK (CRNA)
NPI
1508067364
Phone
(208) 336-0895
Address
111 W STATE ST
Enumeration Date
30 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083360895
Graduation Year
2007 (19 years ago)
PAC ID
5395836050
Group Practice PAC ID
2668385287
Professional Enrollment ID
I20070809000407
Address ID
ID837126207BO338XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for WAYNE R NORDICK (CRNA)

  • West State Street, Boise, Ada County, Idaho, 83707, United States

    BOISE, ID 837026127

    Phone: (208) 336-0895

    Fax: (208) 338-1796

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070809000407ICertified 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
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance4744$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2419$0
00537Anesthesia for procedure to assess heart electrical activity1818$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1818$0
View full utilization report →

Insurance plans in this area (ZIP 83702)

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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: 2668385287View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

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Frequently asked questions

Can I verify WAYNE R NORDICK (CRNA) with an NPI only?
You can start verification with NPI 1508067364 for WAYNE R NORDICK (CRNA), then check state licensing separately.
Is WAYNE R NORDICK (CRNA) still practicing?
WAYNE R NORDICK (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes WAYNE R NORDICK (CRNA)?
For research purposes, treat WAYNE R NORDICK (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for WAYNE R NORDICK (CRNA)?
WAYNE R NORDICK (CRNA)'s geographic hint is Boise, Idaho in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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