NPI age
— years
Enumerated 2025-07-15
● Active Type 2 · Organization
Moose Creek Anesthesia Pc
Moose Creek Anesthesia Pc is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Tegan
Credentialing & Billing
Last NPPES update
2025-11-06
Source: monthly bulk 2026-05
How this organization compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
0 years
↓ 15 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
3925 Washington Pkwy
Idaho Falls, ID 834047596
Mailing address
5341 Tildy Ln
Idaho Falls, ID 834016038
Additional practice locations
1 secondary location on file with NPPES.
Location 2
23 Sawtelle Ave
Rexburg, ID 834401499
Authorized official
Teresa Tegan
Credentialing & Billing
📞 2087347362
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-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.