Individual provider Active NPI

Ruth Onita Kornmueller, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1619458114
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
59306 Issued in ID
Practice address
190 E Bannock St
Boise, ID 83712-6241
Phone
(208) 381-2222
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 59306 ID Primary

Addresses

Primary practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

2537 W State St Ste 200
Boise, ID 83702-2200
Phone (208) 336-0895

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018002626 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244583359 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Creek Anesthesia Services PLLCGroup PAC ID 1355604299, 6 clinicians
Anesthesia Associates of Boise, P.a.Group PAC ID 2668385287, 183 clinicians
Innovative Anesthesia Pain and Wellness PLLCGroup PAC ID 7214336882, 11 clinicians

Practice addresses (Care Compare)

1502 Locust St N
Suite 100
Twin Falls, ID 83301-4163
Phone (208) 734-3356

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

3090 E Gentry Way
Suite 100
Meridian, ID 83642-3548
Phone 208525209018

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Anesthesia Associates of Boise, P.a. CurrentSince Aug 1, 2018 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Nov 1, 2020 Accepting new patients
Rock Creek Anesthesia Services PLLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Tree City Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 4, 2025 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

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

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

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

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

3085 E Magic View Dr
Ste 140
Meridian, ID 83642
Phone (208) 229-9009

1209 N Summerbrook Ave
Ste 100
Meridian, ID 83642
Phone (208) 296-6586

1502 Locust St N
Twin Falls, ID 83301

1502 Locust St N
Ste 100
Twin Falls, ID 83301
Phone (208) 529-6600

115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1619458114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 W STATE ST STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022200",
            "telephone_number": "208-336-0895",
            "fax_number": "208-338-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNMUELLER",
        "first_name": "RUTH",
        "middle_name": "ONITA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "59306",
            "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 Jan 25, 2022; 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.