P Praxis·MD
● Active Type 1 · Individual

Shawn A Wren, CRNA

Nurse Anesthetist, Certified Registered·Blackfoot, ID· NPI 1922530062 · Enumerated 2017 · 9 years on NPI
Wren is 1 of 20 nurse anesthetist, certified registered providers in Blackfoot and 1 of 575 in Idaho.
NPI age
9 years
Enumerated 2017-03-29
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-07-30
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
9 years
↓ 6 yr below median (15 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Practice location
98 Poplar St
Blackfoot, ID 83221
📞 2087854100
Mailing address
Po Box 1627
Idaho Falls, ID 834031627
📞 2085528778

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...
    ID license #59106NM license #CRNA-01479 taxonomy 367500000X

Identifiers

TypeValueNotes
05 (ID) 1922530062
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.

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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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