MR. BRUCE EVAN KOCH (CRNA MSN) – Certified Registered Nurse Anesthetist, NPI 1336128180

MR. BRUCE EVAN KOCH (CRNA MSN) is a healthcare provider. based in Spokane, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA MSN. They hold a License No. AP30007302 (WA). The NPI Number for MR. BRUCE EVAN KOCH (CRNA MSN) is 1336128180

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE EVAN KOCH (CRNA MSN)
NPI
1336128180
Phone
(509) 482-0111
Address
5633 N LIDGERWOOD
Enumeration Date
11 January 2006
Last Update Date
29 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098371500
Graduation Year
1987 (39 years ago)
PAC ID
7113010588
Group Practice PAC ID
7113284530
Professional Enrollment ID
I20070831000090
Address ID
WA989442263SU1016XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

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Provider Addresses for MR. BRUCE EVAN KOCH (CRNA MSN)

  • North Lidgerwood Lane, Spokane County, Washington, United States

    SPOKANE, WA 99208

    Phone: (509) 482-0111

    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: 2007-08-31

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
I20070831000090ICertified 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.

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

Insurance plans in this area (ZIP 99208)

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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: 7113284530View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

What is the registry number for MR. BRUCE EVAN KOCH (CRNA MSN)?
The registry entry for MR. BRUCE EVAN KOCH (CRNA MSN) shows NPI 1336128180.
Quick check: is MR. BRUCE EVAN KOCH (CRNA MSN) active?
Public NPPES data shows MR. BRUCE EVAN KOCH (CRNA MSN) with an active NPI status right now.
Which specialty label fits MR. BRUCE EVAN KOCH (CRNA MSN)?
NPPES ties MR. BRUCE EVAN KOCH (CRNA MSN) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. BRUCE EVAN KOCH (CRNA MSN)?
The directory associates MR. BRUCE EVAN KOCH (CRNA MSN) with Spokane, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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