GAVIN BRUDERER CRNA, MSNA
NPI 1427730910
Nurse Anesthetist, Certified Registered in Caldwell, ID

Q: What is Gavin Bruderer's NPI number?

The NPI number for Gavin Bruderer is 1427730910. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Q: What is Gavin Bruderer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gavin Bruderer was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 03, 2023Accepts Medicare Assignment

1717 ARLINGTON AVE, CALDWELL, ID 83605(208) 459-4641 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gavin Bruderer Crna, Msna NPPES

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

GAVIN BRUDERER CRNA, MSNA (NPI 1427730910) is an individual nurse anesthetist, certified registered in Caldwell, Idaho, licensed in Idaho (57794) and active in the NPI registry since August 2023. He is affiliated with West Valley Medical Center, maintains a secondary practice location in Sun City, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1427730910

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGAVIN BRUDERERCredential: CRNA, MSNA

Location Address1717 ARLINGTON AVECaldwell, ID 83605-4802

Mailing Address17654 N Newdale AveNampa, ID 83687-4819 · (208) 709-2425

Phone(208) 459-4641

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 3, 2023

Last NPPES UpdateSeptember 16, 2024

NPPES CertifiedSeptember 16, 2024

✔ NPI 1427730910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · 57794

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 11277587-3102 (UT)

1717 ARLINGTON AVE, Caldwell, ID 83605

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Secondary Practice Location 1

Location 110401 W Thunderbird BlvdSun City, AZ 85351-3004 · Phone (623) 832-4000

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gavin Bruderer Crna, Msna 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.

PECOS PAC ID1850743774

PECOS Enrollment IDI20240116004493

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID

5/5 CMS rating

OwnershipProprietary

CMS Certification Number130014

Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEM-STATE ANESTHESIA SERVICES, PLLC

Nurse Anesthetist, Certified Registered