Blue Lakes Anesthesia
NPI 1073344651 · Certified Registered Nurse Anesthetist · Twin Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Lakes Anesthesia is a Certified Registered Nurse Anesthetist organization in Twin Falls, ID (NPI 1073344651).
Provider details
- NPI number
- 1073344651
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Thad Hollist, Managing Member(208) 520-0035
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Blue Lakes Anesthesia's NPI number?
- Blue Lakes Anesthesia's National Provider Identifier (NPI) is 1073344651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Lakes Anesthesia?
- Blue Lakes Anesthesia is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blue Lakes Anesthesia located?
- Blue Lakes Anesthesia's practice location on file with NPPES is 2092 Dawson Dr, Twin Falls, ID 83301-3195.
- What is Blue Lakes Anesthesia's phone number?
- The practice phone number listed in the NPPES registry for Blue Lakes Anesthesia is (208) 734-7362.
- Does Blue Lakes Anesthesia accept Medicare?
- Blue Lakes Anesthesia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Lakes Anesthesia?
- The authorized official listed on Blue Lakes Anesthesia's NPPES record is Thad Hollist, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Lakes Anesthesia's NPI active?
- Yes — Blue Lakes Anesthesia's NPI (1073344651) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.