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

Samuel Paddack Barnes

Individual provider Certified Registered Nurse Anesthetist · NPI 1205510351

Samuel Paddack Barnes is a Certified Registered Nurse Anesthetist (CRNA) in Coeur D Alene, Idaho. Graduated from University of Detroit Mercy School of Dentistry in 2024, 2 years ago. Practices with Anesthesia Associates of Coeur D Alene PLLC, a 58-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Trained at
University of Detroit Mercy School of Dentistry
Licensed in
ID
In the registry since
2023

Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 765-8585
Fax: (208) 765-8486
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 4961871 (ID)

Record details

NPI number1205510351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 9, 2023
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated 2024 (2 years in practice)
Group practice Anesthesia Associates Of Coeur D Alene Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene