BESPOKE ANESTHESIA SERVICES LLC
NPI 1235003351
Nurse Anesthetist, Certified Registered in Loveland, CO

Q: What is Bespoke Anesthesia Services LLC's NPI number?

The NPI number for Bespoke Anesthesia Services LLC is 1235003351. It was assigned to this organization in the NPPES registry on October 1, 2025.

Q: What is Bespoke Anesthesia Services LLC's specialty?

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

Active since October 01, 2025

3800 GRANT AVE, LOVELAND, CO 80538(970) 622-0608(952) 442-3620 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Bespoke Anesthesia Services Llc NPPES

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

BESPOKE ANESTHESIA SERVICES LLC (NPI 1235003351) is a healthcare organization registered as a nurse anesthetist, certified registered in Loveland, Colorado and active in the NPI registry since October 2025. The organization lists Mya J Montoya, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1235003351

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameBESPOKE ANESTHESIA SERVICES LLC

Location Address3800 GRANT AVELoveland, CO 80538-8412

Mailing Address400 10th St EWaconia, MN 55387-4552 · (952) 442-9770 · Fax (952) 442-3620

Phone(970) 622-0608

Fax(952) 442-3620

Organization SubpartNo

Authorized OfficialMya J MontoyaManaging Member · (404) 840-3413

Enumeration DateOctober 1, 2025

Last NPPES UpdateJuly 24, 2026

NPPES CertifiedJuly 24, 2026

✔ NPI 1235003351 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.

3800 GRANT AVE, Loveland, CO 80538

Open in Google Maps ↗

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)

Bespoke Anesthesia Services Llc 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 Bespoke Anesthesia Services LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.