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

Gary Don Bevan, CRNA

Individual provider Registered Nurse · NPI 1174579742

Gary Don Bevan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Graduated from Mayo Medical School in 2004, 22 years ago. Practices with Tri-State Memorial Hospital, a 34-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Trained at
Mayo Medical School
Licensed in
ID
In the registry since
2006
Specialties on file
2
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

1055 N Curtis Rd
Boise, ID 83706-1352
Phone: (208) 367-6416
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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 RNA588 (ID)
Registered Nurse Taxonomy 163W00000X · Licence N32936 (ID)

Record details

NPI number1174579742
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 7, 2011
Mailing addressPo Box 4268, Portland, OR 97208-4268

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 2004 (22 years in practice)
Group practice Tri-State Memorial Hospital — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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