Melanie R Ahrens, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Boise, ID
NPI 1053500645 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1053500645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RNA705 (ID)
- Practice address
- 111 W State St
Boise, ID 83702-6127 - Phone
- (208) 336-0895
- Fax
- (208) 338-1796
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates of Boise, P.a.
Practice addresses (Care Compare)
1000 State St
McCall, ID 83638-3704
Phone (208) 634-2221
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S McCall
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071102000390 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4486741766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA705 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Boise, P.a. | Current |
Accepting new patients |
Locations
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
1000 State St
McCall, ID 83638
Phone (208) 634-2221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA705 | ID | Yes |
Addresses
Primary practice location
111 W State St
Boise, ID 83702-6127
Mailing address
111 W State St
Boise, ID 83702-6127
Phone (208) 336-0895
Other providers in Boise, ID
- Tom C Ahlrichs
- Danielle Rae Ahlstrom
- Derek Scott Ahlstrom
- Parwiz Ahmad
- Farkhunda Ahmadi
- Aidaly Care Idaho LLC
- Dawn Lynn Aiken
- Georgianna T Ainslie
- Brittany Louise Aitchison
- Bryce Aitken
All providers in Boise, ID · Certified Registered Nurse Anesthetist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.