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

Gavin Bruderer, CRNA, MSNA

Individual provider Registered Nurse · NPI 1427730910

Gavin Bruderer, CRNA, MSNA is a Certified Registered Nurse Anesthetist (CRNA) in Caldwell, Idaho. Qualified in 2023, 3 years ago. Practices with Anesthesia Consulting Partners Idaho PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
3
Licensed in
ID, UT
In the registry since
2023
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

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone: (208) 459-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 — (623) 832-4000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 57794 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 11277587-3102 (UT)

Record details

NPI number1427730910
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA , MSNA
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Anesthesia Consulting Partners Idaho Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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