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CASSIDY B WATERMAN CRNA
NPI 1750691929
Nurse Anesthetist, Certified Registered in Pocatello, ID

Active since October 20, 2010Accepts Medicare Assignment
1950 E CLARK ST, SUITE G, POCATELLO, ID 83201(208) 232-7760(208) 232-1950 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassidy B Waterman Crna NPPES

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

CASSIDY B WATERMAN CRNA (NPI 1750691929) is an individual nurse anesthetist, certified registered in Pocatello, Idaho, licensed in Idaho (RNA-781) and active in the NPI registry since October 2010. He is affiliated with Portneuf Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1750691929
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCASSIDY B WATERMANCredential: CRNA
Location Address1950 E CLARK ST, SUITE GPocatello, ID 83201-3314
Mailing Address777 Hospital WayPocatello, ID 83201-5175 · (208) 240-0735 · Fax (208) 232-1950
Phone(208) 232-7760
Fax(208) 232-1950
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 20, 2010
Last NPPES UpdateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1750691929 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 · RNA-781
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.
1950 E CLARK ST, Pocatello, ID 83201
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Other Identifiers 3

OtherCD5673ID · Rr Group Legacy Number
OtherP00956855Individual Rr Medicare
Other1604930ID · Medicare Ptan

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

Cassidy B Waterman 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 ID42492670
PECOS Enrollment IDI20110308000139

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 exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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.

Other Providers at the Same Location NPPES 8

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

MRS. CHERYL E RODNICK OTR L, CHT
Occupational Therapist (Hand)
1950 E CLARK ST, STF
POCATELLO, ID 83201
Bannock County (208) 232-2915
KAREN DONCOUSE CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760
MICHAEL J. GREGSON, M.D., P.A.
Specialist
1950 E CLARK ST, SUITE C
POCATELLO, ID 83201
Bannock County (208) 232-8300
DR. STEVE M SKOUMAL MD
Pathology (Anatomic Pathology & Clinical Pathology)
1950 E CLARK ST, SUITE D
POCATELLO, ID 83201
Bannock County (208) 233-3794
SHIRLEY YELLOWHAIR CST
1950 E CLARK ST, STE A
POCATELLO, ID 83201
Bannock County (208) 232-5550
DALE T KNIEVEL CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760
GARY R JOHANSON CRNA
Nurse Anesthetist, Certified Registered
1950 E CLARK ST, SUITE G
POCATELLO, ID 83201
Bannock County (208) 232-7760
DAKOTA WILSON PA-C
Physician Assistant
1950 E CLARK ST
POCATELLO, ID 83201
Bannock County (208) 232-7246

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 Cassidy Waterman's NPI number?

The NPI number for Cassidy Waterman is 1750691929. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Cassidy Waterman located?

Cassidy Waterman practices at 1950 E Clark St Suite G, Pocatello, ID 83201. The listed phone number is (208) 232-7760.

What is Cassidy Waterman's specialty?

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

Is Cassidy Waterman enrolled in Medicare?

Yes. Cassidy Waterman 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.

What insurance does Cassidy Waterman accept?

Health plans from Moda Health Plan, Inc. list Cassidy Waterman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cassidy Waterman affiliated with any hospitals?

According to CMS data, Cassidy Waterman is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Cassidy Waterman was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.