Deanna Rachel Anderson
Individual provider Active NPI Family Nurse Practitioner · Nampa, ID
NPI 1982398038 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1982398038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 76326 (ID)
- Practice address
- 1510 12TH Ave Rd
Nampa, ID 83686-6008 - Phone
- (208) 302-6800
- Fax
- (208) 302-6855
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Alphonsus Regional Medical Center Inc
Practice addresses (Care Compare)
1510 12TH Ave Rd
Suite 200
Nampa, ID 83686-6008
Phone (208) 302-6899
1512 12TH Ave Rd
Suite 100
Nampa, ID 83686-6008
Phone (208) 467-1171
3025 W Cherry LN
Meridian, ID 83642-8531
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230718003053 | ID | Practitioner - Nurse Practitioner | 0547620825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76326 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current |
Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current |
Accepting new patients |
Locations
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
1510 12th Ave Rd
Ste 200
Nampa, ID 83686
Phone (208) 302-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 76326 | ID | |
| Family Nurse Practitioner | 363LF0000X | 76326 | ID | Yes |
Addresses
Primary practice location
1510 12TH Ave Rd
Nampa, ID 83686-6008
Mailing address
1510 12TH Ave Rd
Nampa, ID 83686-6008
Phone (208) 302-6800
Other providers in Nampa, ID
- Marla K Ambrose
- Anchor Counseling
- Benjamin Andersen
- Adela Anderson
- Brennan Anderson
- Denise Anderson
- Forrest Anderson
- Jessica Michelle Anderson
- John A Anderson
- Riley Paige Anderson
All providers in Nampa, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.