Active NPI
Sergey G Zaytsev, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 75056
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-6416
- Fax
- (208) 367-2742
- NPI assigned
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 75056 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
3720 Rainbow Lake Dr
Lakeside, AZ 85929-3165
Phone (360) 607-1322
Other practice location 2
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 367-6416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- National Medical University, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
3090 E Gentry Way
Suite 100
Meridian, ID 83642-3548
Phone 208525209018
875 S Vanguard Way
Suite 120
Meridian, ID 83642-8541
Phone (208) 960-0851
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Innovative Anesthesia Pain & Wellness PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Intermountain Ambulatory Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| Boise Anesthesia, P a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
600 N Robbins Rd
Ste 401
Boise, ID 83702
Phone (208) 489-4279
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
1000 State St
McCall, ID 83638
Phone (208) 634-2221
875 S Vanguard Way
Ste 120
Meridian, ID 83642
Phone (208) 391-4359
520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000
3090 E Gentry Way
Ste 100
Meridian, ID 83642
Phone (208) 288-1600
4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Organizations & group practices 7
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.
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1962385948
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Meridian, ID
- NPI 1073546289
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boise, ID
- NPI 1487602298
Nurse Anesthetist, Certified Registered
-
dba SAMG Anesthesia
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
dba St Alphonsus Trauma Physician Services
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1871163881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-6416",
"fax_number": "208-367-2742"
}
],
"practiceLocations": [
{
"address_1": "3720 Rainbow Lake Dr",
"address_purpose": "LOCATION",
"city": "Lakeside",
"state": "AZ",
"postal_code": "859293165",
"country_code": "US",
"telephone_number": "360-607-1322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 E Flamingo Ave",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836873138",
"country_code": "US",
"telephone_number": "208-367-6416",
"fax_number": "208-367-2742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAYTSEV",
"first_name": "SERGEY",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-30",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "75056",
"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 Oct 25, 2023; 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.