OrganizationActive
Intermountain Anesthesia Associates PLLC
NPI 1609413343 · Certified Registered Nurse Anesthetist · Lewiston, ID
Provider details
- NPI number
- 1609413343
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dustin Elben, President(509) 552-6666
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
318 Warner Dr
Lewiston, ID 83501-4441
Phone: (208) 298-1050
Street-level locationGet directions
Mailing address
Po Box 84702
Seattle, WA 98124-6002
Registry dates
- Enumerated
- 2019-12-02
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.