ADVANCED ANESTHESIA, LLC
NPI 1407353428
Nurse Anesthetist, Certified Registered in Pocatello, ID
About Advanced Anesthesia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED ANESTHESIA, LLC (NPI 1407353428) is a healthcare organization registered as a nurse anesthetist, certified registered in Pocatello, Idaho and active in the NPI registry since April 2018. The organization lists Dorian S. Grunig, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Anesthesia, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Advanced Anesthesia, LLC's NPI number?
The NPI number for Advanced Anesthesia, LLC is 1407353428. It was assigned to this organization in the NPPES registry on April 6, 2018.
Where is Advanced Anesthesia, LLC located?
Advanced Anesthesia, LLC is located at 1155 Pocatello Creek Rd, Pocatello, ID 83201. The listed phone number is (208) 238-6337.
What is Advanced Anesthesia, LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Advanced Anesthesia, LLC enrolled in Medicare?
Yes. Advanced Anesthesia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Anesthesia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Advanced Anesthesia, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advanced Anesthesia, LLC was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Advanced Anesthesia, Llc · NPI 1407353428
Nurse Anesthetist, Certified Registered organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since April 6, 2018.
## Identity
- **NPI:** 1407353428 (Entity type: Organization)
- **Enumerated:** April 6, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Dorian Grunig, PRESIDENT
## Practice location
- **Address:** 1155 POCATELLO CREEK RD, Pocatello, ID 83201-2949
- **Phone:** (208) 238-6337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1407353428) · Data from the CMS NPPES public registry.