LISA ANDREA BOOTSMA CRNA
NPI 1891732475
Nurse Anesthetist, Certified Registered in Boise, ID
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
Specialties & Licenses 2
Other Identifiers 2
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
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.
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, 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 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.
Where is Lisa Bootsma located?
Lisa Bootsma practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-6416.
What is Lisa Bootsma's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lisa Bootsma enrolled in Medicare?
Yes. Lisa Bootsma 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 Lisa Bootsma affiliated with any hospitals?
According to CMS data, Lisa Bootsma is affiliated with St Luke's Regional Medical Center.
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.
# Lisa Andrea Bootsma, CRNA · NPI 1891732475
Nurse Anesthetist, Certified Registered physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1891732475 (Entity type: Individual)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RNA476A (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1055 N CURTIS RD, Boise, ID 83706-1352
- **Phone:** (208) 367-6416
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 18, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 1603355 (ID); Medicaid 805980400 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1891732475) · Data from the CMS NPPES public registry.