JAXON DEAN ANDERSON CRNA
NPI 1043568892
Nurse Anesthetist, Certified Registered in Idaho Falls, ID

Q: What is Jaxon Anderson's NPI number?

The NPI number for Jaxon Anderson is 1043568892. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Jaxon Anderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jaxon Anderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2012Accepts Medicare Assignment

2325 CORONADO ST, IDAHO FALLS, ID 83404(208) 557-2700 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

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About Jaxon Dean Anderson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAXON DEAN ANDERSON CRNA (NPI 1043568892) is an individual nurse anesthetist, certified registered in Idaho Falls, Idaho, licensed in Idaho (847A) and active in the NPI registry since August 2012. He is affiliated with Mountain View Hospital and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043568892

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJAXON DEAN ANDERSONCredential: CRNA

Location Address2325 CORONADO STIdaho Falls, ID 83404-7407

Mailing AddressPo Box 4268Portland, OR 97208-4268 · (503) 372-2740 · Fax (503) 372-2754

Phone(208) 557-2700

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 28, 2012

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1043568892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · 847A

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License N-36657 (ID)

2325 CORONADO ST, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaxon Dean Anderson Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567614340

PECOS Enrollment IDI20121129000492

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130074

Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MORGAN TIUS GARRIOTT MSN, APRN, CNP, FNP

Nurse Practitioner (Family)