Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Jacob Sidwell, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1023439486

Benjamin Jacob Sidwell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with G and G Anesthesia LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2014
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone: (314) 996-5330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2014000650 (MO)

Record details

NPI number1023439486
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 2, 2014
Last updated in NPPESMarch 18, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice G And G Anesthesia Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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