DAVID PHILLIPS
NPI 1053709139
Nurse Anesthetist, Certified Registered in Boise, ID

Q: What is David Phillips's NPI number?

The NPI number for David Phillips is 1053709139. It was assigned to this individual provider in the NPPES registry on December 24, 2014.

Q: What is David Phillips'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 David Phillips was last updated on December 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 24, 2014Accepts Medicare Assignment

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

NPPES record last updated: December 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About David Phillips NPPES

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

DAVID PHILLIPS (NPI 1053709139) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (27384) and active in the NPI registry since December 2014. He is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053709139

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDAVID PHILLIPS

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 2014

Enumeration DateDecember 24, 2014

✔ NPI 1053709139 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 · 27384

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Phillips 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 ID5092033118

PECOS Enrollment IDI20150421000663

Medicare Billing Reassignment

Medicare enrollment records show David Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates Of Boise, P.A.

Same address

Specialist

338 E BANNOCK ST
Boise, ID 83712

Reassigned Medicare billing, Idaho enrollment
233 clinicians in this Medicare group

NPI 1033147467 (208) 336-0895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

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