Moose Creek Anesthesia PC
NPI 1922990035 · Certified Registered Nurse Anesthetist · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moose Creek Anesthesia PC is a Certified Registered Nurse Anesthetist organization in Idaho Falls, ID (NPI 1922990035).
Provider details
- NPI number
- 1922990035
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Teresa Tegan, Credentialing & Billing(208) 734-7362
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 23 Sawtelle AveRexburg, ID 83440-1499Phone: (208) 734-7362
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Moose Creek Anesthesia PC's NPI number?
- Moose Creek Anesthesia PC's National Provider Identifier (NPI) is 1922990035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moose Creek Anesthesia PC?
- Moose Creek Anesthesia PC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Moose Creek Anesthesia PC located?
- Moose Creek Anesthesia PC's practice location on file with NPPES is 3925 Washington Pkwy, Idaho Falls, ID 83404-7596.
- What is Moose Creek Anesthesia PC's phone number?
- The practice phone number listed in the NPPES registry for Moose Creek Anesthesia PC is (208) 201-4973.
- Does Moose Creek Anesthesia PC accept Medicare?
- Moose Creek Anesthesia PC 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 Moose Creek Anesthesia PC?
- The authorized official listed on Moose Creek Anesthesia PC's NPPES record is Teresa Tegan, Credentialing & Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moose Creek Anesthesia PC's NPI active?
- Yes — Moose Creek Anesthesia PC's NPI (1922990035) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.