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AMBULATORY SURGERY CENTER OF BURLEY, LLC
NPI 1992706840
Clinic/Center - Ambulatory Surgical in Burley, ID

Active since August 02, 2005
1344 HILAND AVE, SUITE E, BURLEY, ID 83318(208) 677-8888(208) 678-5833 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ambulatory Surgery Center Of Burley, Llc NPPES

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

AMBULATORY SURGERY CENTER OF BURLEY, LLC (NPI 1992706840) is a healthcare organization registered as an ambulatory surgical in Burley, Idaho and active in the NPI registry since August 2005. The organization lists Joseph R. Petersen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992706840
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGERY CENTER OF BURLEY, LLC
Location Address1344 HILAND AVE, SUITE EBurley, ID 83318-1564
Mailing Address1344 Hiland Ave, Suite EBurley, ID 83318-1564 · (208) 677-8888 · Fax (208) 675-5833
Phone(208) 677-8888
Fax(208) 678-5833
Organization SubpartNo
Authorized OfficialJoseph R. PetersenCeo · (208) 677-8888
Enumeration DateAugust 2, 2005
Last NPPES UpdateAugust 17, 2017
✔ NPI 1992706840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1344 HILAND AVE, Burley, ID 83318
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Other Identifiers 4

Medicare PIN1870291ID
Other03822ID · Blue Cross
Other24973 000010005417ID · Blue Shield
Medicaid805534000ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambulatory Surgery Center Of Burley, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Ambulatory Surgery Center Of Burley, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Benjamin Guercio, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972763381
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
7.6 mi
Eric Bailey, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881966885
801 POLE LINE RD W MAGIC VALLEY ANESTHESIOLOGY ASSOCIATES
Twin Falls, ID 83301
(208) 358-2810
✔ Accepts Medicare37 mi
John Cory, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053682229
801 POLE LINE RD W
Twin Falls, ID 83301
(208) 814-1000
✔ Accepts Medicare37 mi
Brendan Petersen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043569056
801 POLE LINE RD W
Twin Falls, ID 83301
(208) 814-1000
✔ Accepts Medicare37 mi
Dewey Driscoll, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871925057
333 NORTH 18TH BLDG A
Pocatello, ID 83201
(208) 233-8880
✔ Accepts Medicare73 mi
Richard Marler, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497154207
333 N 18TH AVE BLDG A
Pocatello, ID 83201
(208) 233-8880
✔ Accepts Medicare73 mi
Henry Adams, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497833537
1485 PARKWAY DR
Blackfoot, ID 83221
(208) 785-5100
85 mi
Jess Field
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770928244
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-3729
✔ Accepts Medicare86 mi
David Swope, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033470216
2290 CORONADO ST
Idaho Falls, ID 83404
(208) 421-1159
✔ Accepts Medicare112 mi
Jaxon Anderson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043568892
2325 CORONADO ST
Idaho Falls, ID 83404
(208) 557-2700
✔ Accepts Medicare112 mi
Justin Snedaker, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992028088
801 W MAPLE ST
Farmington, NM 87401
(505) 609-2000
✔ Accepts Medicare499 mi
Rafferty Sorensen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609176338
1 ATWELL RD
Cooperstown, NY 13326
(607) 547-3153
✔ PECOS✔ Accepts Medicare1,963 mi

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 8

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
110 services65 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
105 services36 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
80 services44 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
77 services61 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
61 services30 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
41 services13 patients

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 Ambulatory Surgery Center Of Burley, LLC's NPI number?

The NPI number for Ambulatory Surgery Center Of Burley, LLC is 1992706840. It was assigned to this organization in the NPPES registry on August 2, 2005.

Where is Ambulatory Surgery Center Of Burley, LLC located?

Ambulatory Surgery Center Of Burley, LLC is located at 1344 Hiland Ave Suite E, Burley, ID 83318. The listed phone number is (208) 677-8888.

What is Ambulatory Surgery Center Of Burley, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Ambulatory Surgery Center Of Burley, LLC enrolled in Medicare?

Yes. Ambulatory Surgery Center Of Burley, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ambulatory Surgery Center Of Burley, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Ambulatory Surgery Center Of Burley, LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ambulatory Surgery Center Of Burley, LLC accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Ambulatory Surgery Center Of Burley, LLC 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.

When was this NPI record last updated?

The NPPES record for Ambulatory Surgery Center Of Burley, LLC was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.