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

David Nicholson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1912985755

David Nicholson, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Ketchum, Idaho. Qualified in 1997, 29 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group and accepts Medicare assignment. Licensed in California, Idaho and New Mexico.

Years since qualifying
29
Licensed in
CA, ID, NM
In the registry since
2006
Specialties on file
4
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

100 Hospital Dr
Ketchum, ID 83340
Phone: (208) 727-8800
Fax: (208) 727-8124
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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 59928 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA00752 (NM)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence NA95000124 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence R48739 (NM)

Record details

NPI number1912985755
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESMarch 15, 2026
Certification dateMarch 15, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 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 patients19
Services billed 19 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

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 Lukes Clinic - Wood River LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 64 clinicians in the practice; 12 are shown here.

Other providers in Ketchum