P Praxis·MD
● Active Type 1 · Individual

MR. Justin R Gibb, CRNA

Nurse Anesthetist, Certified Registered·Meridian, ID· NPI 1023263894 · Enumerated 2008 · 17 years on NPI
Gibb is 1 of 31 nurse anesthetist, certified registered providers in Meridian and 1 of 575 in Idaho.
NPI age
17 years
Enumerated 2008-11-20
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
OR, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-11Enumerated in NPPES
2008 2026

Where they practice

Practice location
1828 S Millenium Way
Meridian, ID 836425036
📞 2083810262
Mailing address
Po Box 2263
Idaho Falls, ID 834032263
📞 2085252090fax 2085238978

Additional practice locations

1 secondary location on file with NPPES.

Location 2
351 Sw 9th St
Ontario, OR 979142639
📞 5418817140

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (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...
    OR license #200860041CRNAID license #RNA728 taxonomy 367500000X

Identifiers

TypeValueNotes
01 2701125 REGENCE
01 P00725584 RAILROAD MEDICARE
05 (ID) 1023263894
05 (OR) 500603268
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse anesthetist, certified registered provider has been added in Meridian in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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