BRIAN CARROLL
NPI 1417449810
Nurse Anesthetist, Certified Registered in Hayden, ID
About Brian Carroll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN CARROLL (NPI 1417449810) is an individual nurse anesthetist, certified registered in Hayden, Idaho, licensed in Idaho (57988) and active in the NPI registry since May 2018. He maintains a secondary practice location in Spokane and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Brian Carroll 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.
Medicare Billing Reassignments
4Medicare enrollment records show Brian Carroll reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hayden, ID 83835
- Reassigned Medicare billing, Idaho enrollment
- 7 clinicians in this Medicare group
Hayden, ID 83835
- Reassigned Medicare billing, Idaho enrollment
- 7 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 242 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 102 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAYDEN, ID 83835
HAYDEN, ID 83835
HAYDEN, ID 83835
HAYDEN, ID 83835
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 Brian Carroll's NPI number?
The NPI number for Brian Carroll is 1417449810. It was assigned to this individual provider in the NPPES registry on May 31, 2018.
Where is Brian Carroll located?
Brian Carroll practices at 8552 N Government Way, Hayden, ID 83835. The listed phone number is (208) 772-7600.
What is Brian Carroll's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Brian Carroll enrolled in Medicare?
Yes. Brian Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brian Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Carroll reassigns Medicare benefits to 4 organizations: Northern Lakes Surgery Center, LLC (Hayden, ID), Hayden Lake Anesthesia PLLC (Hayden, ID), Providence Health & Service- Washington (Spokane, WA) and Anesthesia Associates, Ps (Spokane, WA). Each 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 Brian Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brian Carroll was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Brian Carroll · NPI 1417449810
Nurse Anesthetist, Certified Registered physician in Hayden, Idaho. Individual provider, active in the CMS NPPES registry since May 31, 2018.
## Identity
- **NPI:** 1417449810 (Entity type: Individual)
- **Enumerated:** May 31, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 57988 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 8552 N GOVERNMENT WAY, Hayden, ID 83835-9280
- **Phone:** (208) 772-7600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Northern Lakes Surgery Center, LLC (NPI 1861271629, Hayden, ID); Hayden Lake Anesthesia PLLC (NPI 1134926181, Hayden, ID); Providence Health & Service- Washington (NPI 1508118555, Spokane, WA); Anesthesia Associates, Ps (NPI 1831143254, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417449810) · Data from the CMS NPPES public registry.