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

Blake Paul Williams

Individual provider Certified Registered Nurse Anesthetist · NPI 1306647722

Blake Paul Williams is a Certified Registered Nurse Anesthetist (CRNA) in Twin Falls, Idaho. Qualified in 2025, 1 year ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025

Practice location Address checks out

801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 814-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3671263 (ID)

Record details

NPI number1306647722
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address420 Cayuse Creek Dr, Kimberly, ID 83341-5133

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Twin Falls