MR. BRUCE WILLIAM DEMKO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1780651539

MR. BRUCE WILLIAM DEMKO (CRNA) is a healthcare provider. based in Ponderay, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. N30209 (ID). The NPI Number for MR. BRUCE WILLIAM DEMKO (CRNA) is 1780651539

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE WILLIAM DEMKO (CRNA)
NPI
1780651539
Phone
(208) 255-8013
Address
30544 HIGHWAY 200
Enumeration Date
1 March 2006
Last Update Date
13 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082623823
Graduation Year
2000 (26 years ago)
PAC ID
3375456171
Group Practice PAC ID
0648415547
Professional Enrollment ID
I20040827000204
Address ID
ID838547322PO4171XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for MR. BRUCE WILLIAM DEMKO (CRNA)

  • Sand Creek Byway, Ponderay, Bonner County, Idaho, 83852, United States

    PONDERAY, ID 838525005

    Phone: (208) 255-8013

    Type: Location

  • PO BOX 591

    SAGLE, ID 83860

    Phone: (208) 265-3534

    Fax: (208) 265-3534

    Type: Mailing

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: 2012-05-30

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
I20040827000204ICertified Registered Nurse Anesthetist (Crna)IDTBD
I20120530000255ICertified Registered Nurse Anesthetist (Crna)WATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope5858$0
00813Anesthesia for procedure on small and large bowel using an endoscope2424$0
00812Anesthesia for exam of colon using an endoscope2323$0
01480Anesthesia for other procedure on lower leg, ankle, and foot bones2222$0
76942Ultrasonic guidance for needle placement2121$0
View full utilization report →

Insurance plans in this area (ZIP 83852)

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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: 0648415547View full group profile
NameSpecialtyState
-WA
-WA
Certified Registered Nurse Anesthetist (Crna)ID
-ID
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)ID

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Frequently asked questions

Where can patients find MR. BRUCE WILLIAM DEMKO (CRNA)'s NPI?
You can confirm MR. BRUCE WILLIAM DEMKO (CRNA) with NPI 1780651539; it appears in the national provider directory.
Is MR. BRUCE WILLIAM DEMKO (CRNA) currently active in the NPI registry?
CMS-published data lists MR. BRUCE WILLIAM DEMKO (CRNA) as an active registrant.
Does MR. BRUCE WILLIAM DEMKO (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MR. BRUCE WILLIAM DEMKO (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. BRUCE WILLIAM DEMKO (CRNA)?
The page summarizes Ponderay, Idaho for MR. BRUCE WILLIAM DEMKO (CRNA); expand the address list for detail.
What if Ponderay, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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