MR. CLINT D ALLRED CRNA
NPI 1053548131
Nurse Anesthetist, Certified Registered in Boise, ID

Q: What is Clint Allred's NPI number?

The NPI number for Clint Allred is 1053548131. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Q: What is Clint Allred's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Clint Allred was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since June 16, 2009Accepts Medicare Assignment

338 E BANNOCK ST, BOISE, ID 83712(208) 336-0895(208) 338-1796 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Clint D Allred Crna NPPES

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

MR. CLINT D ALLRED CRNA (NPI 1053548131) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (RNA793) and active in the NPI registry since June 2009. He is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053548131

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. CLINT D ALLREDCredential: CRNA

Location Address338 E BANNOCK STBoise, ID 83712-6207

Mailing Address338 E Bannock StBoise, ID 83712-6207 · (208) 336-0895 · Fax (208) 338-1796

Phone(208) 336-0895

Fax(208) 338-1796

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 16, 2009

Last NPPES UpdateMay 19, 2011

✔ NPI 1053548131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · RNA793

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

338 E BANNOCK ST, Boise, ID 83712

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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

Mr. Clint D Allred Crna 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 ID1557409307

PECOS Enrollment IDI20110602000120

Hospital Affiliations CMS Care Compare 2

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 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 83712 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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.

ANESTHESIA ASSOCIATES OF BOISE, P.A.

Specialist