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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
NPI 1386677524
Anesthesiology in Boise, ID

Active since July 09, 2006
1055 N CURTIS RD, BOISE, ID 83706(208) 367-6416(208) 367-2742 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Jun 16, 2025, Oct 6, 2023 (3 updates tracked since 2023).

About St Alphonsus Professional Medical Services Llc NPPES

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

ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC (NPI 1386677524), doing business as Samg Anesthesia, is a healthcare organization registered as an anesthesiology in Boise, Idaho and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Nampa and lists Marcie Harper, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1386677524
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 367-6416
Fax(208) 367-2742
Organization SubpartNo
Authorized OfficialMarcie HarperChief Financial Officer · (208) 367-7192
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1386677524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1055 N CURTIS RD, Boise, ID 83706
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Other Names 1

Doing Business AsSamg Anesthesia

Secondary Practice Location 1

Location 14300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 367-6416 · Fax (208) 367-2742

Other Identifiers 1

Medicaid002786200ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Alphonsus Professional Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

188

Medicare enrollment records show 188 clinicians reassign Medicare billing to St Alphonsus Professional Medical Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)152
Anesthesiology31
Pathology5

Nearest to this location (20)

See all 188
Matthew Crispo, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972463743
1055 N CURTIS RD
Boise, ID 83706
(208) 367-7610
✔ Accepts MedicareSame address
Marilyn Armayor, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124079785
1055 N CURTIS RD
Boise, ID 83706
(208) 367-6416
✔ Accepts MedicareSame address
Kimberly Balangue, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598800526
1055 N CURTIS RD
Boise, ID 83706
(208) 367-5170
Same address
Joseph Bellus
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194518795
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2149
✔ Accepts MedicareSame address
Benjamin Berzinis, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962558064
1055 N CURTIS RD
Boise, ID 83706
(208) 367-5170
✔ Accepts MedicareSame address
Terry Black, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902843584
1055 N CURTIS RD
Boise, ID 83706
(208) 367-6416
✔ Accepts MedicareSame address
Lara Burke, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467757203
1055 N CURTIS RD
Boise, ID 83706
(208) 367-5170
✔ Accepts MedicareSame address
Jack Chaffin, MD
Pathology
NPI 1104867662
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2152
✔ PECOS✔ Accepts MedicareSame address
Tyler Coburn, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588995435
1055 N CURTIS RD
Boise, ID 83706
(208) 367-6416
✔ Accepts MedicareSame address
Russell Crawford, DO
Anesthesiology
NPI 1609968635
1055 N CURTIS RD
Boise, ID 83706
(208) 367-5170
✔ PECOSSame address
Ciciley Fox, MD
Anesthesiology
NPI 1932660925
1055 N CURTIS RD
Boise, ID 83706
(208) 367-5170
✔ PECOS✔ Accepts MedicareSame address
Daniel Grange, D.O.
Anesthesiology
NPI 1710977509
1055 N CURTIS RD
Boise, ID 83706
(208) 367-6416
✔ PECOS✔ Accepts MedicareSame address
Leana Guerin, M.D.
Pathology
NPI 1750591483
1055 N CURTIS RD
Boise, ID 83706
(208) 367-3722
✔ PECOS✔ Accepts MedicareSame address
Bruce Hansen, DO
Anesthesiology
NPI 1699941021
1055 N. CURTIS ROAD
Boise, ID 83706
(208) 367-2559
✔ PECOS✔ Accepts MedicareSame address
Tyler Hartley, M.D.
Anesthesiology
NPI 1518348564
1055 N CURTIS RD
Boise, ID 83706
(208) 367-5170
✔ PECOS✔ Accepts MedicareSame address
David Hintze, D.O.
Anesthesiology
NPI 1619408481
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2559
✔ PECOS✔ Accepts MedicareSame address
Jason Jenkins, MD
Anesthesiology
NPI 1942252390
1055 N CURTIS RD
Boise, ID 83706
(208) 367-6416
✔ PECOS✔ Accepts MedicareSame address
Edward Kim, M.D.
Pathology
NPI 1396785531
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2152
✔ PECOS✔ Accepts MedicareSame address
Nancy Kois, M.D.
Pathology
NPI 1356397491
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2152
✔ PECOS✔ Accepts MedicareSame address
John Martin, MD
Anesthesiology
NPI 1720031479
1055 N CURTIS RD
Boise, ID 83706
(208) 367-6416
✔ PECOS✔ Accepts MedicareSame address
See all 188 clinicians

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

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 St Alphonsus Professional Medical Services LLC's NPI number?

The NPI number for St Alphonsus Professional Medical Services LLC is 1386677524. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as SAMG Anesthesia.

Where is St Alphonsus Professional Medical Services LLC located?

St Alphonsus Professional Medical Services LLC is located at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-6416.

What is St Alphonsus Professional Medical Services LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is St Alphonsus Professional Medical Services LLC enrolled in Medicare?

Yes. St Alphonsus Professional Medical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Alphonsus Professional Medical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 188 clinicians in 3 Medicare specialties reassign their Medicare billing to St Alphonsus Professional Medical Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (152), Anesthesiology (31) and Pathology (5). Of these, 1 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Alphonsus Professional Medical Services LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list St Alphonsus Professional Medical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Alphonsus Professional Medical Services LLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.