Individual provider Active NPI

Cory Lamar Lewis

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1093224289
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
56935 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-6416
NPI assigned
Sep 20, 2017
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 56935 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

23252 El Paso Rd
Caldwell, ID 83607-7776
Phone (208) 850-8029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205001619 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668739319 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elaine Key MD PLLCGroup PAC ID 0345679981, 4 clinicians
Anesthesiology Consultants of Treasure Valley PLLCGroup PAC ID 4981661196, 27 clinicians

Practice addresses (Care Compare)

1859 S Topaz Way
Suite 106
Meridian, ID 83642-4401
Phone (208) 672-4640

8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Ambulatory Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Anesthesiology Consultants of Treasure Valley PLLC CurrentSince Jan 1, 2025 Accepting new patients
Elaine Key MD PLLC CurrentSince Aug 8, 2022 Accepting new patients
Idaho Spine & Pain PLLC CurrentSince Aug 8, 2022 Accepting new patients
Boise Anesthesia, P a Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2017 Accepting new patients
Anesthesia Consulting Partners Idaho, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2023 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

600 N Robbins Rd
Ste 401
Boise, ID 83702
Phone (208) 489-4279

8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720

875 S Vanguard Way
Ste 120
Meridian, ID 83642
Phone (208) 367-6416

875 S Vanguard Way
Ste 300
Meridian, ID 83642
Phone (208) 960-0650

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1093224289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23252 EL PASO RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077776",
            "telephone_number": "208-850-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CORY",
        "middle_name": "LAMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "56935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.