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

Daniel Ewing Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1295267029

Daniel Ewing Clark, CRNA is registered under 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.

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Practice location Address checks out

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

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 patients141
Services billed 144 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

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 North Bend Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 91 clinicians in the practice; 12 are shown here.

Other providers in Idaho Falls