Individual provider Active NPI

Nathan Steenblik, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1306143185
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-789 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-6416
Fax
(208) 367-2742
NPI assigned
Feb 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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 RNA-789 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 4268
Portland, OR 97208-4268
Phone (503) 372-2740

Other identifiers 1

IdentifierTypeStateIssuer
1306143185MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110222000942 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406037563 Reassigns benefits to 3 organizations
I20250609001666 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406037563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
West Idaho Anesthesia, LLPGroup PAC ID 9133343031, 15 clinicians

Practice addresses (Care Compare)

251 SW 19TH St
Ontario, OR 97914-1972
Phone (541) 889-3198

3115 Medical Dr
Caldwell, ID 83605-6972
Phone (208) 453-8668

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Idaho Anesthesia, LLP Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Elaine Key MD PLLC CurrentSince Apr 22, 2020 Accepting new patients
Boise Anesthesia, P a Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2011 Accepting new patients
Cardiac and Arrhythmia Center of Idaho PLLC CurrentSince Jun 1, 2022 Accepting new patients
Idaho Spine & Pain PLLC CurrentSince May 16, 2021 Accepting new patients
Everest ASC Past Accepting new patients
Boise Anesthesia, PA Past Accepting new patients

Locations

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

3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668

2960 E St Lukes St
Ste 100
Meridian, ID 83642
Phone (208) 378-4264

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

251 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1306143185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4268",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084268",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2755"
        },
        {
            "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",
            "fax_number": "208-367-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENBLIK",
        "first_name": "NATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306143185",
            "state": "ID"
        }
    ],
    "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 Apr 8, 2011; 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.