LISA ANDREA BOOTSMA CRNA
NPI 1891732475
Nurse Anesthetist, Certified Registered in Boise, ID

Q: What is Lisa Bootsma's NPI number?

The NPI number for Lisa Bootsma is 1891732475. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Lisa Bootsma'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 Lisa Bootsma was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 01, 2006Accepts Medicare Assignment

1055 N CURTIS RD, BOISE, ID 83706(208) 367-6416 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Andrea Bootsma Crna NPPES

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

LISA ANDREA BOOTSMA CRNA (NPI 1891732475) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (RNA476A) and active in the NPI registry since June 2006. She is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2000).

NPPES Registry Identity

NPI1891732475

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLISA ANDREA BOOTSMACredential: CRNA

Location Address1055 N CURTIS RDBoise, ID 83706-1352

Mailing AddressPo Box 4268Portland, OR 97208-4268 · (503) 372-2740 · Fax (503) 372-2754

Phone(208) 367-6416

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 1, 2006

Last NPPES UpdateJanuary 18, 2012

✔ NPI 1891732475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · RNA476A

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License N29873 (ID)

1055 N CURTIS RD, Boise, ID 83706

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Other Identifiers 2

Medicare ID-Type Unspecified1603355ID

Medicaid805980400ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Lisa Andrea Bootsma 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.

PECOS PAC ID5991821134

PECOS Enrollment IDI20100925000067

Medicare Billing Reassignments

Medicare enrollment records show Lisa Bootsma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boise Anesthesia, P A

Same address

Anesthesiology

1055 N CURTIS RD
Boise, ID 83706

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

NPI 1487602298 (208) 367-6416

Anesthesia Associates Of Boise, P.A.

3.3 mi

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 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.

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.

DR. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)