DANIEL EWING CLARK CRNA
NPI 1295267029
Nurse Anesthetist, Certified Registered in Idaho Falls, ID
NPI Status: Active since March 30, 2017
Contact Information
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-6111
- Individual
- Male
- Years of Experience 9
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
About DANIEL CLARK
This page provides the complete NPI Profile along with additional information for Daniel Clark, a provider established in Idaho Falls, Idaho with a medical specialization in Nurse Anesthetist, Certified Registered and more than 9 years of experience. He graduated from Mayo Medical School in 2017. The healthcare provider is registered in the NPI registry with number 1295267029 assigned on March 2017. The practitioner's primary taxonomy code is 367500000X with license number 54479 (ID). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1295267029
- Provider Name
- DANIEL EWING CLARK CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3100 CHANNING WAY IDAHO FALLS, ID 83404
- Location Phone
- (208) 529-6111
- Mailing Address
- 3100 CHANNING WAY IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 529-6111
- Medical School Name
- MAYO MEDICAL SCHOOL
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-30-2017
- Last Update Date
- 02-03-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 54479
- License State
- ID
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- ACCESS BRONZE HDHP - PPO
- ACCESS GOLD - PPO
- ACCESS GOLD HDHP - PPO
- ACCESS SILVER - PPO
- ACCESS SILVER HDHP - PPO
- Plus Bronze HDHP - PPO
- Plus Gold HDHP - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Daniel Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7214214618
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20170512001828, I20200131002314
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for access to central vein
Anesthesia for exam of colon using an endoscope
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
Anesthesia for other procedure on large bowel using an endoscope
Anesthesia for other procedure on skin of arms, legs, and front body
Anesthesia for other procedure on urinary system through urethra
Anesthesia for procedure on posterior opening and rectum
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
Anesthesia for procedure on small and large bowel using an endoscope
Anesthesia for access to a central vein is a medical procedure where a numbing medication is used to minimize discomfort during the insertion of a long, thin tube into a large vein. This tube can be used to deliver medications, fluids, or to collect blood samples.
This service was performed 12 times for 12 patientsAnesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
This service was performed 61 times for 61 patientsThis procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 53 times for 53 patientsAnesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
This service was performed 138 times for 137 patientsAnesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
This service was performed 12 times for 12 patientsAnesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
This service was performed 18 times for 16 patientsAnesthesia for procedures on the posterior opening and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
This service was performed 13 times for 13 patientsAnesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
This service was performed 25 times for 23 patientsAnesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
This service was performed 39 times for 39 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.31 for a new patient copayment and $16.44 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 83404 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.27
- Minimum New Patient Price $52.44
- Maximum New Patient Price $160.17
- Average New Patient Copayment $30.31
- Minimum New Patient Copayment $13.11
- Maximum New Patient Copayment $40.04
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.77
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $130.93
- Average Established Patient Copayment $16.44
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $32.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Clark is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MOUNTAIN VIEW HOSPITAL | 2325 CORONADO STREET IDAHO FALLS, ID 83404 | (208) 557-2700 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 9 | 5 | 2 | 6 | 7 | 0 | 2 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 18 | 5 | 4 | 6 | 14 | 0 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 8 + 5 + 4 + 6 + 1 + 4 + 0 + 4 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1295267029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. ERIC B MAUGHAN MD
Emergency Medicine
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DR. SCOTT M PACKER MD
Emergency Medicine
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DAVID ANDREW GARRITY MD
Emergency Medicine
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DR. SCOTT G CROSS MD
Emergency Medicine
(Undersea and Hyperbaric Medicine)
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DERON J RICKS PA
Physician Assistant
3100 CHANNING WAY
STE 115
IDAHO FALLS, ID
ZIP 83404
JAMES TYLER CHRISTENSEN PA
Physician Assistant
(Medical)
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DR. JEFFREY KELLER MD
Emergency Medicine
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
ROBERT WAGNER MD
Emergency Medicine
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DR. NEAL J CLINGER M.D.
Radiology
(Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DR. ALAN B WRAY M.D.
Radiology
(Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
DR. CHRISTIAN D MONSON M.D.
Anesthesiology
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
FLOYD JOSEPH FANTELLI MD
Pathology
(Anatomic Pathology & Clinical Pathology)
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
EASTERN IDAHO HEALTH SERVICES, INC.
General Acute Care Hospital
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
EASTERN IDAHO HEALTH SERVICES, INC.
General Acute Care Hospital
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
EASTERN IDAHO HEALTH SERVICES, INC.
Skilled Nursing Facility
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
EASTERN IDAHO HEALTH SERVICES, INC.
Rehabilitation Unit
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
EASTERN IDAHO REG MED CTR PS, LLC
Obstetrics & Gynecology
(Gynecologic Oncology)
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
NATHAN SEEDALL CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
JAY MARSDEN CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
MARY WAIGHT CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295267029, enumerated as an "individual" on March 30, 2017.
The provider is located at 3100 CHANNING WAY IDAHO FALLS, ID 83404 and the phone number is (208) 529-6111.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to verify.
Daniel Clark is affiliated with: MOUNTAIN VIEW HOSPITAL.