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CHARLES B GLADWELL CRNA
NPI 1689824633
Nurse Anesthetist, Certified Registered in Boise, ID

Active since September 26, 2008
111 W STATE ST, BOISE, ID 83702(208) 336-0895(208) 338-1796 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles B Gladwell Crna NPPES

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

CHARLES B GLADWELL CRNA (NPI 1689824633) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (TEMPORARY) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1689824633
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCHARLES B GLADWELLCredential: CRNA
Location Address111 W STATE STBoise, ID 83702-6127
Mailing Address111 W State StBoise, ID 83702-6127 · (208) 336-0895 · Fax (208) 338-1796
Phone(208) 336-0895
Fax(208) 338-1796
Sole ProprietorNo
Enumeration DateSeptember 26, 2008
✔ NPI 1689824633 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 ID · TEMPORARY
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.
111 W STATE ST, Boise, ID 83702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles B Gladwell Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Charles Gladwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mt Ogden Anesthesia Group LLC
273 mi
Nurse Anesthetist, Certified Registered
3480 WASHINGTON BLVD STE 105
Ogden, UT 84401
  • Reassigned Medicare billing, Utah enrollment
  • 33 clinicians in this Medicare group
NPI 1770999807 (801) 392-0385

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

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.
66 services64 patients

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.

MR. DOUGLAS NEURATH
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
JORDAN B WOLFF CRNA
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
STEVEN J LOVE
Anesthesiology
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
MS. MELANIE R AHRENS CRNA
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
MR. BRIAN D FULLER CRNA
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
MR. MARK R WERON
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
MR. DENNIS J HUTTON
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895
MRS. MICHELLE M PIXTON
Nurse Anesthetist, Certified Registered
111 W STATE ST
BOISE, ID 83702
Ada County (208) 336-0895

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 Charles Gladwell's NPI number?

The NPI number for Charles Gladwell is 1689824633. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Charles Gladwell located?

Charles Gladwell practices at 111 W State St, Boise, ID 83702. The listed phone number is (208) 336-0895.

What is Charles Gladwell's specialty?

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

Is Charles Gladwell enrolled in Medicare?

Yes. Charles Gladwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Gladwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Gladwell reassigns Medicare benefits to Mt Ogden Anesthesia Group LLC (Ogden, UT). The 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 Charles Gladwell'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 Charles Gladwell was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.