Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Brian Vaughn

Individual provider Certified Registered Nurse Anesthetist · NPI 1477941755

Brian Vaughn is registered under Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Qualified in 2015, 11 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Tennessee.

Years since qualifying
11
Licensed in
ID, TN
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-5170
Fax: (208) 367-5180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 W Ravine Rd, Kingsport, TN 37660-3837 — (423) 224-4000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 59454 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 19532 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000165025 (TN)

Record details

NPI number1477941755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2015
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients38
Services billed 39 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at St Alphonsus Professional Medical Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 123 clinicians in the practice; 12 are shown here.

Other providers in Boise