NPI age
15 years
Enumerated 2010-10-20
● Active
Type 1 · Individual
Cassidy B Waterman, CRNA
Waterman is 1 of 31 nurse anesthetist, certified registered providers in Pocatello and 1 of 575 in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Practice location
1950 E Clark St, Suite G
Pocatello, ID 832013314
Mailing address
777 Hospital Way
Pocatello, ID 832015175
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) | CD5673 | RR GROUP LEGACY NUMBER |
| 01 | P00956855 | INDIVIDUAL RR MEDICARE |
| 01 (ID) | 1604930 | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 575 Nurse Anesthetist, Certified Registered providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.