EVAN B THEOBALD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1497859037

Certified Registered Nurse Anesthetist

EVAN B THEOBALD (CRNA) is a healthcare provider. based in Payson, Utah. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 375417-4406 (UT). The NPI Number for EVAN B THEOBALD (CRNA) is 1497859037

Main info

Male

26 Years Of Experience

Accepts Medicare Assignment

Name

EVAN B THEOBALD (CRNA)

NPI

1497859037

Phone

(801) 465-3844

Address

32 W 1320 S

Enumeration Date

12 September 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8019939524

Graduation Year

2000 (26 years ago)

PAC ID

1658326319

Group Practice PAC ID

5991604829

Professional Enrollment ID

I20050315000786

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

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Provider Addresses for EVAN B THEOBALD (CRNA)

1320 South, Payson, Utah County, Utah, 84651, United States
PAYSON, UT 846513012
Phone: (801) 465-3844
Type: Mailing
Mountain View Hospital, 1000, East 100 North, Payson, Utah County, Utah, 84651, United States
PAYSON, UT 846511600
Phone: (800) 748-4868
Fax: (801) 733-5872
Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84651)

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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: 5991604829View full group profile

Name	Specialty	State
MR. RICHARD GARY WATTS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	ID
CHERIE CARPENTER BATE (CRNA)	-	UT
SAMANTHA BLAIR WALKER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
COLT BRUNSON (D.O.)	A N E S T H E S I O L O G Y	UT
MATTHEW DAVID NEWBURY (CRNA)	-	UT
SHANE VERL THEOBALD (CRNA)	-	UT
JASON D BROTHERSON (A,P.R.N.)	Certified Registered Nurse Anesthetist (Crna)	UT
JARED W OLLERTON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
PAUL B REICHERT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
JACOB MERRILL HUNSAKER (CRNA)	-	UT

Reviews

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Frequently asked questions

Does EVAN B THEOBALD (CRNA) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — EVAN B THEOBALD (CRNA) uses 1497859037.

Can I rely on EVAN B THEOBALD (CRNA) being an active provider?

As of the registry snapshot, EVAN B THEOBALD (CRNA) is marked active.

What taxonomy line describes EVAN B THEOBALD (CRNA)?

For research purposes, treat EVAN B THEOBALD (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.

Does EVAN B THEOBALD (CRNA) list a practice location?

Patients near Payson, Utah may find EVAN B THEOBALD (CRNA) in results; validate coverage separately.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.