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

Daniel Ewing Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1295267029

Daniel Ewing Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Idaho Falls, Idaho. Graduated from Mayo Medical School in 2017, 9 years ago. Practices with North Bend Medical Center Inc, a 91-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Trained at
Mayo Medical School
Licensed in
ID
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 54479 (ID)

Record details

NPI number1295267029
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice North Bend Medical Center Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Idaho Falls