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

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: August 16, 2026.

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
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

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

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

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.

Specialist
338 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
338 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
338 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
338 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
338 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
338 E BANNOCK ST
BOISE, ID 83712
Anesthesiology (Pediatric Anesthesiology)
338 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
338 E BANNOCK ST
BOISE, ID 83712

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 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.

Where is David Phillips located?

David Phillips practices at 338 E Bannock St, Boise, ID 83712. The listed phone number is (208) 336-0895.

What is David Phillips's specialty?

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

Is David Phillips enrolled in Medicare?

Yes. David Phillips 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 David Phillips affiliated with any hospitals?

According to CMS data, David Phillips is affiliated with St Luke's Regional Medical Center.

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.