MENDY WILLIAMS
NPI 1366976151
Nurse Anesthetist, Certified Registered in Boise, ID

Q: What is Mendy Williams's NPI number?

The NPI number for Mendy Williams is 1366976151. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Mendy Williams'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 Mendy Williams was last updated on February 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 18, 2017

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

NPPES record last updated: February 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mendy Williams NPPES

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

MENDY WILLIAMS (NPI 1366976151) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (55935) and active in the NPI registry since April 2017. She is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366976151

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMENDY WILLIAMS

Location Address338 E BANNOCK STBoise, ID 83712-6207

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

Phone(208) 336-0895

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 18, 2017

Last NPPES UpdateFebruary 18, 2024

NPPES CertifiedFebruary 18, 2024

✔ NPI 1366976151 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 · 55935

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 (PECOS)

Mendy Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840566030

PECOS Enrollment IDI20171016000958

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

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