JOHN P GOEDDERTZ CRNA
NPI 1659424125
Nurse Anesthetist, Certified Registered in Boise, ID
About John P Goeddertz Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P GOEDDERTZ CRNA (NPI 1659424125) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (RNA-694) and active in the NPI registry since January 2007. He is affiliated with Saint Alphonsus Regional Medical Center and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
John P Goeddertz 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Goeddertz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 71 clinicians in this Medicare group
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 188 clinicians in this Medicare group
Boise, ID 83704
- Reassigned Medicare billing, Idaho enrollment
- 47 clinicians in this Medicare group
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDTreasure Valley Hospital
Acute Care Hospitals · Boise, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOISE, ID 83706
BOISE, ID 83706
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 John Goeddertz's NPI number?
The NPI number for John Goeddertz is 1659424125. It was assigned to this individual provider in the NPPES registry on January 19, 2007.
Where is John Goeddertz located?
John Goeddertz practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-2163.
What is John Goeddertz's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Goeddertz enrolled in Medicare?
Yes. John Goeddertz 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.
Which organizations bill Medicare for John Goeddertz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Goeddertz reassigns Medicare benefits to 3 organizations: Boise Anesthesia, P A (Boise, ID), St Alphonsus Professional Medical Services LLC (Boise, ID) and Anesthesiology Consultants Of Treasure Valley PLLC (Boise, ID). Each 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 John Goeddertz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Goeddertz accept?
Health plans from Blue Cross Blue Shield of North Dakota and Moda Health Plan, Inc. list John Goeddertz 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.
Is John Goeddertz affiliated with any hospitals?
According to CMS data, John Goeddertz is affiliated with Saint Alphonsus Regional Medical Center and Treasure Valley Hospital.
When was this NPI record last updated?
The NPPES record for John Goeddertz was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# John P Goeddertz, CRNA · NPI 1659424125
Nurse Anesthetist, Certified Registered physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1659424125 (Entity type: Individual)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RNA-694 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1055 N CURTIS RD, Boise, ID 83706-1309
- **Phone:** (208) 367-2163
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Boise Anesthesia, P A (NPI 1487602298, Boise, ID); St Alphonsus Professional Medical Services LLC (NPI 1386677524, Boise, ID); Anesthesiology Consultants Of Treasure Valley PLLC (NPI 1124066063, Boise, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** October 9, 2023
- **Other identifiers:** Medicaid 12462 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1659424125) · Data from the CMS NPPES public registry.