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

Mark Alan Pendleton

Individual provider Certified Registered Nurse Anesthetist · NPI 1316570757

Mark Alan Pendleton is a Certified Registered Nurse Anesthetist (CRNA) in Pocatello, Idaho. Qualified in 2020, 6 years ago. Practices with Madison Anesthesia Services PA, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020

Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (082) 391-0562
Fax: (208) 239-3626
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 130808 (ID)

Record details

NPI number1316570757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing addressPo Box 558, Rigby, ID 83442-0558

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Madison Anesthesia Services Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello