Active NPI
Jacob Hammer
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 37732
- Practice address
- 2537 W State St Ste 200
Boise, ID 83702-2200 - Phone
- (208) 336-0895
- NPI assigned
- Feb 19, 2018
- Last updated
- Feb 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 37732 | ID | Primary |
Addresses
Primary practice location
2537 W State St Ste 200
Boise, ID 83702-2200
Mailing address
3755 W Idaho Blvd
Emmett, ID 83617-8922
Phone (208) 369-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
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
Practice addresses (Care Compare)
3090 E Gentry Way
Suite 100
Meridian, ID 83642-3548
Phone 208525209018
8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| Anesthesiology Consultants of Treasure Valley PLLC | Current | Accepting new patients | |
| Innovative Anesthesia Pain & Wellness PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2235
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000
1000 State St
McCall, ID 83638
Phone (208) 634-2221
3090 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 288-1600
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.
-
- Anesthesiology Physician
- Boise, ID
- NPI 1124066063
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1962385948
Nurse Anesthetist, Certified Registered
-
- Specialist
- Boise, ID
- NPI 1033147467
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Special Hospital
- Boise, ID
- NPI 1720040132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1770083529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 W IDAHO BLVD",
"city": "EMMETT",
"state": "ID",
"postal_code": "836178922",
"telephone_number": "208-369-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2537 W STATE ST STE 200",
"city": "BOISE",
"state": "ID",
"postal_code": "837022200",
"telephone_number": "208-336-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "37732",
"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 Feb 19, 2018; 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.