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

Mr. Justin R Gibb, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1023263894

Mr. Justin R Gibb, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Meridian, Idaho. Qualified in 2008, 18 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
18
Licensed in
ID, OR
In the registry since
2008
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

1828 S Millenium Way
Meridian, ID 83642-5036
Phone: (208) 381-0262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 351 Sw 9th St, Ontario, OR 97914-2639 — (541) 881-7140

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 200860041CRNA (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RNA728 (ID)

Record details

NPI number1023263894
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedNovember 20, 2008
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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