HAYDEN LAKE ANESTHESIA PLLC
NPI 1134926181
Nurse Anesthetist, Certified Registered in Hayden, ID

Q: What is Hayden Lake Anesthesia PLLC's NPI number?

The NPI number for Hayden Lake Anesthesia PLLC is 1134926181. It was assigned to this organization in the NPPES registry on February 27, 2025.

Q: What is Hayden Lake Anesthesia PLLC's specialty?

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

Active since February 27, 2025

8552 N GOVERNMENT WAY, HAYDEN, ID 83835(208) 660-3604 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Feb 27, 2025 (2 updates tracked since 2025).

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About Hayden Lake Anesthesia Pllc NPPES

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

HAYDEN LAKE ANESTHESIA PLLC (NPI 1134926181) is a healthcare organization registered as a nurse anesthetist, certified registered in Hayden, Idaho and active in the NPI registry since February 2025. The organization lists Kyle Thomas Shibley, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1134926181

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameHAYDEN LAKE ANESTHESIA PLLC

Location Address8552 N GOVERNMENT WAYHayden, ID 83835-9280

Mailing AddressPo Box 295Hayden, ID 83835-0295 · (208) 209-6804

Phone(208) 660-3604

Organization SubpartNo

Authorized OfficialKyle Thomas ShibleyManaging Partner · (208) 209-6804

Enumeration DateFebruary 27, 2025

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1134926181 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.

8552 N GOVERNMENT WAY, Hayden, ID 83835

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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)

Hayden Lake Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Hayden Lake Anesthesia PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.