Daniel Ewing Clark, CRNA
Certified Registered Nurse Anesthetist · Idaho Falls, ID
Daniel Ewing Clark, CRNA is a certified registered nurse anesthetist with a practice address in Idaho Falls, Idaho, and NPI 1295267029, issued on Mar 30, 2017. Check the license (Idaho 54479, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Daniel Ewing Clark
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 54479 ID
Self-reported in NPPES; status is on the state search - Practice location
- 3100 Channing Way, Idaho Falls, ID 83404
- Phone
- (208) 529-6111
- Enumerated
- Mar 30, 2017
- Record last updated
- Feb 3, 2023
- Medicare enrollment
- Enrolled (PECOS I20200131002314); accepts Medicare assignment
- Medical or professional school
- Mayo Medical School, 2017
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 476 in Idaho → Look up another NPI →
Also registered at 3100 Channing Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mary Achim-Thibodaux, MDStudent in an Organized Health Care Education/Training Program1497457196
- Danial AliStudent in an Organized Health Care Education/Training Program1902744196
- Tausha AllenInternal Medicine Physician1558822379
- Anita Alvarez, RN,BSN,PCCN,SANE-ARegistered Nurse1821932567
- Braden Amann, DOStudent in an Organized Health Care Education/Training Program1720936057
- Joseph Anderson, DOUndersea and Hyperbaric Medicine (Emergency Medicine) Physician1326025396
Verify Daniel Ewing Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 54479Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Mountain View Hospital LLCIdaho Falls, ID
- North Bend Medical Center IncCoos Bay, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Daniel Ewing Clark among 476 certified registered nurse anesthetist records in Idaho
Daniel Ewing Clark, CRNA is one of 476 certified registered nurse anesthetist records with a practice address in Idaho. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 72% of them.
- NPI issued2017 · 72% of these records are older, 25% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2017 · median 2013 among the 350 with a school on file
- Record last updated2023 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
41 certified registered nurse anesthetist records list a practice address in Idaho Falls
They are 41 of the 2,467 NPPES records with a practice address in Idaho Falls, and 476 certified registered nurse anesthetist records in Idaho.
All 476 in Idaho → Every provider in Idaho Falls → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Vincen Bateman, CRNAIdaho Falls, ID 834041235168774
- Bruce Bjornson, CRNAIdaho Falls, ID 834041659308831
- Eileen Boge, CRNAIdaho Falls, ID 834041851332449
- Jon Champlin, CRNAIdaho Falls, ID 834041386722429
- Darrell Jenkins, CRNAIdaho Falls, ID 834041821028770
- Douglas Jex, CRNAIdaho Falls, ID 834041164459236
- Todd Koerner, CRNAIdaho Falls, ID 834041588662878
- Dennis Macieski, CRNAIdaho Falls, ID 834041225065196
Common questions
What is Daniel Ewing Clark, CRNA's NPI number?
Daniel Ewing Clark, CRNA's National Provider Identifier (NPI) is 1295267029, issued on Mar 30, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Daniel Ewing Clark, CRNA located?
The NPPES record lists a practice address at 3100 Channing Way, Idaho Falls, ID, 83404. Phone: (208) 529-6111. Providers update this record themselves, so call before visiting.
How can I verify Daniel Ewing Clark, CRNA's license?
NPPES lists Idaho license number 54479, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.