NPI age
9 years
Enumerated 2017-03-20
● Active Type 2 · Organization
Moscow Mountain Anesthesia, Pllc
Moscow Mountain Anesthesia, Pllc 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
Winterbottom
President
Last NPPES update
2024-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2300 W A St
Moscow, ID 838434038
Mailing address
2300 W A St
Moscow, ID 838434038
Authorized official
Edward Winterbottom, CRNA
President
📞 2088831500
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Robert Ellison, CRNA Nurse Anesthetist, Certified Registered NPI 1265425714
- Robert Smith, CRNA Nurse Anesthetist, Certified Registered NPI 1861486565
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...
Practice context
Multi-provider organization. 2 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.