MOSCOW MOUNTAIN ANESTHESIA, PLLC
NPI 1275074486
Nurse Anesthetist, Certified Registered in Moscow, ID

Q: What is Moscow Mountain Anesthesia, PLLC's NPI number?

The NPI number for Moscow Mountain Anesthesia, PLLC is 1275074486. It was assigned to this organization in the NPPES registry on March 20, 2017.

Q: What is Moscow Mountain Anesthesia, PLLC's specialty?

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

Active since March 20, 2017

2300 W A ST, MOSCOW, ID 83843(208) 883-1500(208) 882-7701 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2017, Mar 20, 2017 (2 updates tracked since 2017).

On this page

About Moscow Mountain Anesthesia, Pllc NPPES

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

MOSCOW MOUNTAIN ANESTHESIA, PLLC (NPI 1275074486) is a healthcare organization registered as a nurse anesthetist, certified registered in Moscow, Idaho and active in the NPI registry since March 2017. The organization lists Edward Winterbottom, President, as its authorized official.

NPPES Registry Identity

NPI1275074486

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameMOSCOW MOUNTAIN ANESTHESIA, PLLC

Location Address2300 W A STMoscow, ID 83843-4038

Mailing Address2300 W A StMoscow, ID 83843-4038 · (208) 883-1500 · Fax (208) 882-7701

Phone(208) 883-1500

Fax(208) 882-7701

Organization SubpartNo

Authorized OfficialEdward WinterbottomPresident · (208) 883-1500

Enumeration DateMarch 20, 2017

Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2024

✔ NPI 1275074486 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.

2300 W A ST, Moscow, ID 83843

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Moscow Mountain Anesthesia, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robert Ellison, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1265425714

2300 W A ST
Moscow, ID 83843

(208) 883-1500

Same address

Gregory Bauer, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1255496493

700 S MAIN ST
Moscow, ID 83843

(208) 746-7555

✔ Accepts Medicare6.2 mi

James Hug, DNP, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1962015149

825 SE BISHOP BLVD STE 140
Pullman, WA 99163

(509) 336-7725

✔ Accepts Medicare14 mi

Edward Winterbottom, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1689784969

835 SE BISHOP BLVD
Pullman, WA 99163

(509) 332-2541

14 mi

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moscow Mountain Anesthesia, PLLC's NPI number?

The NPI number for Moscow Mountain Anesthesia, PLLC is 1275074486. It was assigned to this organization in the NPPES registry on March 20, 2017.

Where is Moscow Mountain Anesthesia, PLLC located?

Moscow Mountain Anesthesia, PLLC is located at 2300 W A St, Moscow, ID 83843. The listed phone number is (208) 883-1500.

What is Moscow Mountain Anesthesia, PLLC's specialty?

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

Is Moscow Mountain Anesthesia, PLLC enrolled in Medicare?

Yes. Moscow Mountain Anesthesia, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moscow Mountain Anesthesia, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Moscow Mountain Anesthesia, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Moscow Mountain Anesthesia, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Moscow Mountain Anesthesia, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moscow Mountain Anesthesia, PLLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.