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

Cassidy B Waterman, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1750691929

Cassidy B Waterman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pocatello, Idaho. Qualified in 2010, 16 years ago. Practices with Northstar Anesthesia of Idaho PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1950 E Clark St Ste G
Pocatello, ID 83201-3314
Phone: (208) 232-7760
Fax: (208) 232-1950
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 RNA-781 (ID)

Record details

NPI number1750691929
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 20, 2010
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northstar Anesthesia Of Idaho Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello