NPIMap

Individual provider Active NPI

Christina Rose Cyrway, NP

  • Primary Care Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1750944484
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
61208 Issued in ID
Practice address
3904 E Flamingo Ave Ste 100
Nampa, ID 83687-3144
Phone
(208) 465-7121
NPI assigned
Apr 18, 2019
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61208 ID
Primary Care Nurse Practitioner 363LP2300X 61208 ID Primary

Addresses

Primary practice location

3904 E Flamingo Ave Ste 100
Nampa, ID 83687-3144

Mailing address

3904 E Flamingo Ave Ste 100
Nampa, ID 83687-3144
Phone (208) 465-7121

Other practice location 1

2032 W Sahara Dr
Kuna, ID 83634-5377
Phone (352) 445-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000021 ID Practitioner - Nurse Practitioner 3072949353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

3277 E Louise Dr
Meridian, ID 83642-9360

600 N Robbins Rd
Boise, ID 83702-4565

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

775 Pole Line W Rd
111W
Twin Falls, ID 83301-5819
Phone (208) 336-9188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61208IDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Feb 12, 2022 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Feb 12, 2022 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2235

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

600 N Robbins Rd
Ste 410
Boise, ID 83702

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

3277 E Louise Dr
Ste 410
Meridian, ID 83642
Phone (208) 489-5800

9850 W St Lukes Dr
Ste 180
Nampa, ID 83687

Organizations & group practices 4

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 11

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1750944484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 E FLAMINGO AVE STE 100",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873144",
            "telephone_number": "208-465-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 E FLAMINGO AVE STE 100",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873144",
            "telephone_number": "208-465-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2032 W Sahara Dr",
            "address_purpose": "LOCATION",
            "city": "Kuna",
            "state": "ID",
            "postal_code": "836345377",
            "country_code": "US",
            "telephone_number": "352-445-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CYRWAY",
        "first_name": "CHRISTINA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "61208",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "61208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.