BLUE LAKES ANESTHESIA
NPI 1073344651
Nurse Anesthetist, Certified Registered in Twin Falls, ID

Q: What is Blue Lakes Anesthesia's NPI number?

The NPI number for Blue Lakes Anesthesia is 1073344651. It was assigned to this organization in the NPPES registry on August 13, 2024.

Q: What is Blue Lakes Anesthesia's specialty?

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

Active since August 13, 2024

2092 DAWSON DR, TWIN FALLS, ID 83301(208) 734-7362 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2024, Aug 13, 2024 (2 updates tracked since 2024).

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About Blue Lakes Anesthesia NPPES

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

BLUE LAKES ANESTHESIA (NPI 1073344651) is a healthcare organization registered as a nurse anesthetist, certified registered in Twin Falls, Idaho and active in the NPI registry since August 2024. The organization lists Thad Hollist, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073344651

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameBLUE LAKES ANESTHESIA

Location Address2092 DAWSON DRTwin Falls, ID 83301-3195

Mailing Address3849a N 3700 EHansen, ID 83334-5039 · (208) 734-7362 · Fax (208) 733-9463

Phone(208) 734-7362

Organization SubpartNo

Authorized OfficialThad HollistManaging Member · (208) 520-0035

Enumeration DateAugust 13, 2024

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1073344651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code367500000X

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.

2092 DAWSON DR, Twin Falls, ID 83301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Lakes Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to Blue Lakes Anesthesia, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.