Active NPI
Christi Lyn Bader, APRN
- Nurse Practitioner
- Boise, ID
National Provider Identifier
1487279659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11021274
- Practice address
- 3295 W Elder St
Suite 209
Boise, ID 83705 - Phone
- (657) 500-0634
- NPI assigned
- Jun 12, 2020
- Last updated
- Sep 15, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11021274 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APN.0995655-NP | CO | |
| Registered Nurse | 163W00000X | RN.1662585 | CO |
Addresses
Primary practice location
3295 W Elder St
Suite 209
Boise, ID 83705
Mailing address
68 Harrison Ave
Suite 600
Boston, MA 02111
Phone (657) 500-0634
Other practice location 1
141 E. Palace Ave
Suite 101
Santa Fe, NM 87501
Phone (657) 500-0634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1662585 | CO | MD | Registered Nurse |
| APRN11021274 | FL | MD | Nurse Practitioner |
| APN.0995655-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Community Health Center Inc | Current | Accepting new patients | |
| Pueblo Community Health Center Inc | Current | Accepting new patients | |
| Bicycle Health Medical Group PA | Past | Accepting new patients |
Locations
110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718
300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718
Interoperability endpoints
- christi.bader.1@18731.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1770529950
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1952071219
-
- Addiction Medicine (Family Medicine) Physician
- Seattle, WA
- NPI 1194342162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1487279659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 HARRISON AVE",
"address_2": "SUITE 600",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "657-500-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 W ELDER ST",
"address_2": "SUITE 209",
"city": "BOISE",
"state": "ID",
"postal_code": "83705",
"telephone_number": "657-500-0634"
}
],
"practiceLocations": [
{
"address_1": "141 E. Palace Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "87501",
"country_code": "US",
"telephone_number": "657-500-0634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADER",
"first_name": "CHRISTI",
"middle_name": "LYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-12",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11021274",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0995655-NP",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1662585",
"primary": false
}
],
"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 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.