CRYSTAL LEIGH ROSE FNP-C
NPI 1023821196
Nurse Practitioner - Family in Boise, ID

Active since January 30, 2025PECOS EnrolledAccepts Medicare Assignment
425 W BANNOCK ST, BOISE, ID 83702(208) 901-6094(208) 343-5301 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Leigh Rose Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LEIGH ROSE FNP-C (NPI 1023821196) is an individual family provider in Boise, Idaho, licensed in Idaho (2671947) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023821196
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL LEIGH ROSECredential: FNP-C
Location Address425 W BANNOCK STBoise, ID 83702-6035
Mailing Address6382 S Apex AveMeridian, ID 83642-1060 · (208) 901-6094
Fax(208) 343-5301
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1023821196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 2671947
425 W BANNOCK ST, Boise, ID 83702

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Crystal Leigh Rose Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507383478
PECOS Enrollment IDI20250506000001
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
425 W BANNOCK ST
BOISE, ID 83702
Internal Medicine (Gastroenterology)
425 W BANNOCK ST
BOISE, ID 83702
Internal Medicine (Gastroenterology)
425 W BANNOCK ST
BOISE, ID 83702
Clinic/Center (Ambulatory Surgical)
425 W BANNOCK ST
BOISE, ID 83702
Internal Medicine (Gastroenterology)
425 W BANNOCK ST
BOISE, ID 83702
Nurse Practitioner
425 W BANNOCK ST
BOISE, ID 83702
Internal Medicine (Gastroenterology)
425 W BANNOCK ST
BOISE, ID 83702
Internal Medicine (Gastroenterology)
425 W BANNOCK ST
BOISE, ID 83702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Rose's NPI number?

The NPI number for Crystal Rose is 1023821196. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Crystal Rose located?

Crystal Rose practices at 425 W Bannock St, Boise, ID 83702. The listed phone number is (208) 901-6094.

What is Crystal Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Rose enrolled in Medicare?

Yes. Crystal Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Crystal Rose affiliated with any hospitals?

According to CMS data, Crystal Rose is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Crystal Rose was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.