P Praxis·MD
● Active Type 2 · Organization

Sunrise Ketamine Clinic Llc

Nurse Anesthetist, Certified Registered·Idaho Falls, ID· NPI 1205598398 · Enumerated 2021 · 4 years on NPI
Sunrise Ketamine Clinic Llc is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
NPI age
4 years
Enumerated 2021-10-06
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Merkley
Owner
Last NPPES update
2021-10-06
Source: monthly bulk 2026-05

How this organization compares

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

NPI age
4 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
3555 Potomac Way Ste B
Idaho Falls, ID 834044985
📞 2085249080fax 2085293786
Mailing address
3555 Potomac Way Ste B
Idaho Falls, ID 834044985
📞 2085249080fax 2085293786

Authorized official

Bryan Todd Merkley, CRNA
Owner
📞 2085200527

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...
    taxonomy 367500000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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