Active NPI
Anna Martsenyuk, APRN, ACNS-BC
- Pain Medicine Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- CNS-73A
- Practice address
- 2102 W Everest LN Ste 100
Meridian, ID 83646-7033 - Phone
- (208) 505-4744
- Fax
- (844) 402-0970
- NPI assigned
- Dec 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N-38361 | ID | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | CNS-73A | ID | |
| Pain Medicine Physician | 208VP0000X | CNS-73A | ID | Primary |
Addresses
Primary practice location
2102 W Everest LN Ste 100
Meridian, ID 83646-7033
Mailing address
2102 W Everest LN Ste 100
Meridian, ID 83646-7033
Phone (208) 505-4744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2102 W Everest LN
Suite 100
Meridian, ID 83646-7033
Phone (208) 505-4744
2240 W Everest LN
Suite 150
Meridian, ID 83646-6104
Hospital & facility affiliations
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-38361 | ID | MD | Registered Nurse |
| CNS-73A | ID | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Valley Pain Center, LLC | Pain Medicine | Current | Accepting new patients |
| Richard Radnovich DO PC | Past | Accepting new patients |
Locations
2102 W Everest Ln
#100
Meridian, ID 83646
Phone (208) 505-4744
2240 W Everest Ln
#150
Meridian, ID 83646
Phone (208) 794-1559
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFGFDD
- https://fhir4.healow.com/fhir/r4/CFGFDD/Endpoint/CFGFDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Meridian, ID
- NPI 1477321537
-
- Sports Medicine (Family Medicine) Physician
- Boise, ID
- NPI 1417143926
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1053719161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 W EVEREST LN STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467033",
"telephone_number": "208-505-4744",
"fax_number": "844-402-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 W EVEREST LN STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467033",
"telephone_number": "208-505-4744",
"fax_number": "844-402-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTSENYUK",
"first_name": "ANNA",
"credential": "APRN, ACNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N-38361",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "ID",
"license": "CNS-73A",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "ID",
"license": "CNS-73A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.