THAD HOLLIST CRNA
NPI 1639521024
Nurse Anesthetist, Certified Registered in Twin Falls, ID

Q: What is Thad Hollist's NPI number?

The NPI number for Thad Hollist is 1639521024. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Q: What is Thad Hollist'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 Thad Hollist was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2016Accepts Medicare Assignment

115 FALLS AVE W, TWIN FALLS, ID 83301(208) 733-1662(208) 733-9463 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Jul 16, 2018 (2 updates tracked since 2018).

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About Thad Hollist Crna NPPES

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

THAD HOLLIST CRNA (NPI 1639521024) is an individual nurse anesthetist, certified registered in Twin Falls, Idaho, licensed in New Mexico (CRNA-01423) and active in the NPI registry since July 2016. He is affiliated with Portneuf Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639521024

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTHAD HOLLISTCredential: CRNA

Location Address115 FALLS AVE WTwin Falls, ID 83301

Mailing Address115 Falls Ave WTwin Falls, ID 83301-3115 · (208) 734-3356 · Fax (208) 733-9463

Phone(208) 733-1662

Fax(208) 733-9463

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 8, 2016

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1639521024 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

License✔ Licensed in NM · CRNA-01423

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.

115 FALLS AVE W, Twin Falls, ID 83301

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Secondary Practice Locations 2

Location 1801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-6648 · Fax (505) 609-2259

Location 21502 Locust St N Ste 100Twin Falls, ID 83301-4163 · Phone (208) 734-3356

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

Thad Hollist Crna 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 ID9830483296

PECOS Enrollment IDI20180807003010

Areas of Expertise CMS Part B claims 5

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

188 services165 patients

Anesthesia for other procedure on forearm, wrist, or hand bones 01830

Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).

50 services48 patients

Anesthesia for other procedure on eye 00140

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

46 services42 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

27 services27 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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 15

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

DALE DICKINSON, CRNA PA

Nurse Anesthetist, Certified Registered