SAMUEL PADDACK BARNES
NPI 1205510351
Nurse Anesthetist, Certified Registered in Coeur D Alene, ID

Q: What is Samuel Barnes's NPI number?

The NPI number for Samuel Barnes is 1205510351. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Q: What is Samuel Barnes'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 Samuel Barnes was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 June 09, 2023Accepts Medicare Assignment

2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 765-8585(208) 765-8486 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2026, Jun 9, 2023 (2 updates tracked since 2023).

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About Samuel Paddack Barnes NPPES

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

SAMUEL PADDACK BARNES (NPI 1205510351) is an individual nurse anesthetist, certified registered in Coeur D Alene, Idaho, licensed in Idaho (4961871) and active in the NPI registry since June 2023. He is affiliated with Kootenai Health and is a graduate of University Of Detroit Mercy School Of Dentistry (2024).

NPPES Registry Identity

NPI1205510351

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSAMUEL PADDACK BARNES

Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051

Mailing Address212 W Ironwood Dr Ste DCoeur D Alene, ID 83814-1403

Phone(208) 765-8585

Fax(208) 765-8486

Sole ProprietorYes

Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2024

Enumeration DateJune 9, 2023

Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1205510351 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

License✔ Licensed in ID · 4961871

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.

2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Paddack Barnes 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 ID3870940398

PECOS Enrollment IDI20241203001537

Medicare Billing Reassignments

Medicare enrollment records show Samuel Barnes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Of Coeur D Alene PLLC

0.3 mi

Anesthesiology

101 W IRONWOOD DR STE 250
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
81 clinicians in this Medicare group

NPI 1962440966 (208) 765-8585

Henry Ford Health Genesys Hospital

1,637 mi

Diagnostic Radiology

600 HEALTH PARK BLVD STE B
Grand Blanc, MI 48439

Reassigned Medicare billing, Michigan enrollment
154 clinicians in this Medicare group

NPI 1609747542 (810) 606-1601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

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.

CHRISTINA CRABTREE M.D.

Emergency Medicine