JEFFERY CARL RICHARDSON CRNA-DNP
NPI 1932774312
Nurse Anesthetist, Certified Registered in Boise, ID
About Jeffery Carl Richardson Crna-dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERY CARL RICHARDSON CRNA-DNP (NPI 1932774312) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (68470) and active in the NPI registry since May 2021. He is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Jeffery Carl Richardson Crna-dnp 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
5Medicare enrollment records show Jeffery Richardson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 233 clinicians in this Medicare group
Meridian, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 14 clinicians in this Medicare group
Eagle, ID 83616
- Reassigned Medicare billing, Idaho enrollment
- 9 clinicians in this Medicare group
Eagle, ID 83616
- Reassigned Medicare billing, Idaho enrollment
- 4 clinicians in this Medicare group
Mountain Home, ID 83647
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: North Canyon Medical Center Inc
- 180 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 3
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, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDNorth Canyon Medical Center
Critical Access Hospitals · Gooding, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83712 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 83712
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 Jeffery Richardson's NPI number?
The NPI number for Jeffery Richardson is 1932774312. It was assigned to this individual provider in the NPPES registry on May 26, 2021.
Where is Jeffery Richardson located?
Jeffery Richardson practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (801) 231-9869.
What is Jeffery Richardson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jeffery Richardson enrolled in Medicare?
Yes. Jeffery Richardson 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 Jeffery Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Richardson reassigns Medicare benefits to 5 organizations: Anesthesia Associates Of Boise, P.A. (Boise, ID), Innovative Anesthesia Pain & Wellness PLLC (Meridian, ID), Tree City Anesthesia Associates PLLC (Eagle, ID), J & k Anesthesia, PLLC (Eagle, ID) and North Canyon Mountain Home Clinic (Mountain Home, 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 Jeffery Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffery Richardson accept?
Health plans from Moda Health Plan, Inc. list Jeffery Richardson 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 Jeffery Richardson affiliated with any hospitals?
According to CMS data, Jeffery Richardson is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and North Canyon Medical Center.
When was this NPI record last updated?
The NPPES record for Jeffery Richardson was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jeffery Carl Richardson, CRNA-DNP · NPI 1932774312
Nurse Anesthetist, Certified Registered physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since May 26, 2021.
## Identity
- **NPI:** 1932774312 (Entity type: Individual)
- **Enumerated:** May 26, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 68470 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 190 E BANNOCK ST, Boise, ID 83712-6241
- **Phone:** (801) 231-9869
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Boise, P.A. (NPI 1033147467, Boise, ID); Innovative Anesthesia Pain & Wellness PLLC (NPI 1962385948, Meridian, ID); Tree City Anesthesia Associates PLLC (NPI 1538407366, Eagle, ID); J & k Anesthesia, PLLC (NPI 1043994890, Eagle, ID); North Canyon Mountain Home Clinic (NPI 1649759374, Mountain Home, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1932774312) · Data from the CMS NPPES public registry.