NPI age
18 years
Enumerated 2007-06-11
● Active Type 2 · Organization
St. Mary'S Hospital
St. Mary'S Hospital is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Uptmor
Director Business Services
Last NPPES update
2009-05-11
Source: monthly bulk 2026-05
How this organization compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
701 Lewiston St
Cottonwood, ID 83522
Mailing address
701 Lewiston St, P O Box 137
Cottonwood, ID 83522
Authorized official
Theresa A Uptmor
Director Business Services
📞 2089622301
Individual providers at this organization
20 individual providers on file at this primary practice address.
- John Beeh, PAC Physician Assistant NPI 1417952862
- Barry Bergen, MD Psychiatry & Neurology NPI 1538165592
- Briana Bowden, ANP Nurse Practitioner NPI 1821454190
- Jack Bruner, MD Family Medicine NPI 1982607669
- Brenda Hagemann, MSN, APRN, BC FNP Nurse Practitioner NPI 1992708671
- Nicholas Henrie, MD Family Medicine NPI 1487229324
- Tema Jessup, DO Family Medicine NPI 1073774196
- Justin Jones, M.D. Family Medicine NPI 1740639541
- Rebecca Kirk-Ewing, RN CDE Registered Nurse NPI 1164759379
- Kevin Lienesch, DNP, CRNA Nurse Anesthetist, Certified Registered NPI 1356794721
- Todd McAllister, CRNA Nurse Anesthetist, Certified Registered NPI 1164652319
- Taresa Michna, NP Nurse Practitioner NPI 1467901330
- Haley Minnehan, MD Family Medicine NPI 1316940232
- Jeremy Ostrander, MD Family Medicine NPI 1366403396
- Bernadette Rundhaug, MED Counselor NPI 1003948845
- Alvin Secrest, MD Family Medicine NPI 1053314864
- Ronald Sigler, MD Family Medicine NPI 1386647212
- Nathan Svendsen, DPT Physical Therapist NPI 1346018819
- Dennis Tracy, CRNA Nurse Anesthetist, Certified Registered NPI 1578612065
- Megan Wilson, DNP Nurse Practitioner NPI 1952304636
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010158532 | BLUE SHIELD GROUP PROV # |
| 05 (ID) | 002286200 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Anesthesia Group
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.