INNOVATIVE ANESTHESIA – Certified Registered Nurse Anesthetist, NPI 1902036734

INNOVATIVE ANESTHESIA is a healthcare provider. based in Sagle, Idaho. specializing in Certified Registered Nurse Anesthetist. The organization holds a License No. RNA-491A (ID). The NPI Number for INNOVATIVE ANESTHESIA is 1902036734

Main info

Organization
Name
INNOVATIVE ANESTHESIA
NPI
1902036734
Phone
Not provided
Address
PO BOX 591
Authorized Official
BRUCE DEMKO PARTNER
Enumeration Date
14 July 2009
Last Update Date
14 July 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for INNOVATIVE ANESTHESIA

  • PO BOX 591

    SAGLE, ID 838600591

    Phone:

    Type: Mailing

  • 30544 HIGHWAY 200 STE 201

    PEND OREILLE SURGERY CENTER

    PONDERAY, ID 838525005

    Phone: (208) 265-8194

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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

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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 83860)

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Reviews

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Frequently asked questions

What number should I use to identify INNOVATIVE ANESTHESIA for billing?
Administrative and clinical systems typically use NPI 1902036734 for INNOVATIVE ANESTHESIA.
Is INNOVATIVE ANESTHESIA's NPI status active today?
Active status means INNOVATIVE ANESTHESIA's NPI record is not deactivated in the public file.
What type of care does INNOVATIVE ANESTHESIA provide?
INNOVATIVE ANESTHESIA's profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to INNOVATIVE ANESTHESIA?
INNOVATIVE ANESTHESIA shows a connection to Sagle, Idaho in registry-derived data.
Why is information missing for INNOVATIVE ANESTHESIA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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