Individual provider Active NPI

Cory Franklin Briscoe, APRN CRNA MSN

  • Certified Registered Nurse Anesthetist
  • Ammon, ID
National Provider Identifier
1558710889
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9367780 Issued in ID
Practice address
3648 S Boulder Creek LN
Ammon, ID 83406-5114
Phone
(208) 201-7088
NPI assigned
Jun 7, 2016
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9367780 ID Primary
Anesthesiology Physician 207L00000X ARNP9367780 FL

Addresses

Primary practice location

3648 S Boulder Creek LN
Ammon, ID 83406-5114

Mailing address

3648 S Boulder Creek LN
Ammon, ID 83406-5114
Phone (208) 201-7088

Other names 1

  • Cory Briscoe Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbriscoe3990557@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT, IN, GA, OR5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160808002890 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749574168 Reassigns benefits to 5 organizations
I20240103003951 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749574168 Reassigns benefits to 6 organizations
I20250813003073 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749574168 Reassigns benefits to 2 organizations
I20251118001222 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749574168 Reassigns benefits to 1 organization
I20260206003040 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749574168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians
Brinton Anesthesia Group PLLCGroup PAC ID 5496999294, 2 clinicians
Greenland Anesthesia Management, LLCGroup PAC ID 2668886425, 21 clinicians

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000

811 N Liberty St
Boise, ID 83704-8703
Phone (208) 323-4522

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9367780FLMDAnesthesiology Physician
ARNP9367780IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Boise, P.a. CurrentSince Jul 1, 2016 Accepting new patients
Gibb Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2025 Accepting new patients
Brinton Anesthesia Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jan 12, 2025 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Aug 11, 2025 Accepting new patients
Sidney Health Center Current Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 1, 2026 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 6, 2024 Accepting new patients
Sidney Health Center Current Accepting new patients
Lake Health District CurrentSince Jun 1, 2025 Accepting new patients
St Alphonsus Professional Medical Services LLC Anesthesiology CurrentSince Mar 6, 2024 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Aug 11, 2025 Accepting new patients
Marcus Daly Memorial Hospital Corp CurrentSince Jan 12, 2025 Accepting new patients
Sidney Health Center CurrentSince Dec 18, 2023 Accepting new patients
Sidney Health Center CurrentSince Dec 18, 2023 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Mountain View Hospital LLC CurrentSince Mar 1, 2021 Accepting new patients
Australia Anesthesia Management LLC Anesthesiology CurrentSince Aug 10, 2025 Accepting new patients
Greenland Anesthesia Management, LLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
St Lukes Clinic - Wood River LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients

Locations

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

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

2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895

338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895

811 N Liberty St
Boise, ID 83704
Phone (208) 323-4522

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

1000 State St
McCall, ID 83638
Phone (208) 634-2221

1828 S Millenium Way
Meridian, ID 83642
Phone (208) 381-0262

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

700 S J St
Lakeview, OR 97630
Phone (541) 947-2114

Interoperability endpoints

  • Direct secure messaging: cbriscoe3990557@wm.providencedirect.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1558710889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 S BOULDER CREEK LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065114",
            "telephone_number": "208-201-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 S BOULDER CREEK LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065114",
            "telephone_number": "208-201-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "CORY",
        "middle_name": "FRANKLIN",
        "credential": "APRN CRNA MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "ARNP9367780",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ARNP9367780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbriscoe3990557@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CORY",
            "last_name": "BRISCOE",
            "credential": "APRN CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.